# JDM ADAMS PERSONAL CARE HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215347190
- **Authorized official:** MS. LEATHA ADAMS (OWNER)
- **Authorized official phone:** (770) 477-1776

## Contact information

- **Practice address:** 811 MCCULLOUGH RD, STOCKBRIDGE, GA 30281-4901
- **Practice address phone:** (770) 477-1776
- **Practice address fax:** (770) 477-1776
- **Mailing address:** 803 MCCULLOUGH RD, STOCKBRIDGE, GA 30281-4901
- **Mailing address phone:** (770) 210-4236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | 385H00000X | GA | Yes |

## Other

- **Enumeration date:** 05/01/2014
- **Last updated:** 01/22/2015