# JAC NURSING REGISTRY INTERNATIONAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jac Nursing Registry internatl Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972756054
- **Authorized official:** MS. CHRIS MOODY CBCS (PRACRICE MANAGER)
- **Authorized official phone:** (678) 705-2633

## Contact information

- **Practice address:** 4500 HUGH HOWELL RD, 320, TUCKER, GA 30084-4723
- **Practice address phone:** (770) 753-9070
- **Practice address fax:** (770) 621-9433
- **Mailing address:** 7078 BILTMORE TRCE, LITHONIA, GA 30058-2962
- **Mailing address phone:** (770) 753-9070
- **Mailing address fax:** (770) 621-9433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 041157362 | GA | Yes |
| 373H00000X | Day Training/Habilitation Specialist | 041157362 | GA | — |

## Other

- **Enumeration date:** 11/03/2008
- **Last updated:** 11/03/2008