1477889749

Everything you always wanted to know about SERENITY COMMUNITY SERVICES PONDER-WRIGHT L MELANIE but were afraid to ask.

SERENITY COMMUNITY SERVICES PONDER-WRIGHT L MELANIE

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Organization Name Authorized Official Last Name Authorized Official Middle Name Authorized Official First Name
SERENITY COMMUNITY SERVICES PONDER-WRIGHT L MELANIE
Gender:
none
Enumeration date:
2009-10-21
Last update date:
2012-08-16
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No

Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
251B00000X Case Management none none

Phone Numbers

Type Number
Mailing Address Telephone Number 7708923200
Practice Location Address Telephone Number 7708923200
Authorized Official Telephone Number 7708923200

Addresses

Type Address City State Postal Country
Mailing Address 4405 MALL BLVD SUITE 310 UNION CITY GA 30291 GA
Practice Location Address 4405 MALL BOULEVARD non-numeric zip (USA) SUITE 310 UNION CITY USA 0 USA

Other NPI Records that share a phone number

NPI Name Address State City
1205166501 PONDER-WRIGHT, MELANIE
Individual
4405 MALL BLVD GA UNION CITY

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1861819658 BASKETT, KENNETH
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1962829754 CHARLES, DANTE
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