EBONY POLK

In Home Supportive Care

Active Individual
NPI: 1588106397

Practice Address

63 ACORN DR
Dallas, GA 30157

Phone: (678) 515-1844

Specialties

Specialty Code Primary License
In Home Supportive Care 253Z00000X Yes -

Frequently Asked Questions

NPI 1588106397 is the National Provider Identifier for EBONY POLK, a In Home Supportive Care provider located in Dallas, GA. This NPI was enumerated on November 9, 2016.
EBONY POLK practices at 63 ACORN DR, Dallas, GA 30157.

Quick Facts

NPI
1588106397
Type
Individual
Enumerated
Nov 9, 2016
Last Updated
Nov 9, 2016

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