Organization
JDM ADAMS PERSONAL CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEATHA ADAMS (OWNER)
(770) 477-1776
Entity
Organization
Contact information
Practice address
811 MCCULLOUGH RD, STOCKBRIDGE, GA 30281-4901
(770) 477-1776
(770) 477-1776
Mailing address
803 MCCULLOUGH RD, STOCKBRIDGE, GA 30281-4901
(770) 210-4236
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
385H00000X
GA
Other
Enumeration date
05/01/2014
Last updated
01/22/2015
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