NPI 1396424164

Destiny Bound Management

Organisation Case Management Agency Jonesboro, GA

Practice location

Address: 632 Bramble CT, Jonesboro, GA 30238-4402
Phone: (678) 707-2902

Authorised official

Name: Ingrid Trice
Title: Owner
Phone: (678) 707-2902

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1396424164
Entity type: Organization
NPI issued: 17 Jul 2023
Record last updated: 17 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.