Organization
JIM ENTERPRISE INC
Active
Other names
JIM MANOR
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MERRIL MCMILLIAN (PRESIDENT)
(866) 200-8989
Entity
Organization
Contact information
Practice address
10525 LARIAT LANE #33, MANASSAS, VA 20109
(866) 200-8989
(202) 446-0893
Mailing address
10525 LARIAT LANE #33, MANASSAS, VA 20109
(866) 200-8989
(202) 446-0893
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2013
Last updated
07/19/2013
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