Organization
ADJR, LLC
Active
Other names
Runnels Creek Adult Day Care Svcs
Organization subpart
No
Provider details
NPI number
Authorized official
CARROL ANN HUDSPETH (OWNER)
(601) 587-1498
Entity
Organization
Contact information
Practice address
1134 E BROAD ST, MONTICELLO, MS 39654-7681
(601) 587-9226
Mailing address
PO BOX 1337, MONTICELLO, MS 39654-1337
(601) 587-1498
(601) 587-9226
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
251QA0600X
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07684032
—
MS
Enumeration date
05/14/2013
Last updated
05/14/2013
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