Organization
JERICHO ADULT DAY CARE CENTER INC.
Active
Other names
JERICHO ADULT DAYCARE CENTER INC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WILLIE MAE BRIGGS (PRESIDENT/CEO)
(770) 477-5644
Entity
Organization
Contact information
Practice address
409 ARROWHEAD BLVD, B-8, JONESBORO, GA 30236-1255
(770) 477-5644
(770) 477-5647
Mailing address
2100 KENNINGTON CT, JONESBORO, GA 30236-2620
(770) 477-5644
(770) 477-5647
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000737283B
—
GA
Enumeration date
11/03/2016
Last updated
11/03/2016
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