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MODIFY HEALTH LLC 1063184737

Overview
Name: MODIFY HEALTH LLC Specialty: Meals Provider Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Other Service Providers Classification: Meals Specialization: . Definition of Specialty: A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: MODIFY HEALTH LLC,190 BLUEGRASS VALLEY PKWY,ALPHARETTA,GA,300052204,US Mailing Address: MODIFY HEALTH LLC,190 BLUEGRASS VALLEY PKWY,ALPHARETTA,GA,300052204,US
Contact #
Practice location phone #: 8887663439 Practice location fax #: Mailing address Phone #: 8887663439 Mailing Address fax #: Authorized official Name/Telephone #:MR., GEORGE, PRATT, CEO 7705195503
Misc
Date NPI was obtained: 10/01/2021 Last data data was updated: 10/01/2021 Insurances:
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