BURST OF JOY PERSONAL CARE NPI 1790196772

NPI Information

NPI: 1790196772
Provider Name: BURST OF JOY PERSONAL CARE
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
396 7TH AVE SE
CAIRO, GA
ZIP 39828
Phone: (229) 397-0819
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BURST OF JOY PERSONAL CARE is a community health clinic center in Cairo, GA. BURST OF JOY PERSONAL CARE NPI is 1790196772. The provider is registered as an organization entity type.

The provider's business location address is:

396 7TH AVE SE
CAIRO, GA
ZIP 39828-070
Phone: (229) 397-0819

The provider's authorized official is Ventrisha Linett Mollins .
The authorized official title is Owner and has the following contact phone number (229) 378-0693.

The enumeration date for this NPI number is 5/13/2014 and was last updated on 5/13/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QC1500X	Clinic/Center	Community Health	065-01-023-1	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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