GODLY AMBITION OF NEW GENERATION
Managed Care Organizations at Winlark Dr, Florence, SC

License number
South Carolina 1042065
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: DEANN G LESANE MA, AS
Title: PROGRAM DIRECTOR
Phone: (843) 621-2696
Address
Address
3501 E Winlark Dr, Florence, SC 29506
National Provider ID: 1366855876
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Godly Ambition of New Generation

3501 E Winlark Dr, Florence, SC 29506

Industry:
Individual/Family Services
Director:
Deann Lesane (Director)

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