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Organization

JORDAN MANAGEMENT GROUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SANDRA S. JORDAN M.ED. (SOLE MEMBER/CHIEF EXECUTIVE OFFICER)
(252) 334-1560
Entity
Organization

Contact information

Practice address
905 HALSTEAD BLVD, STE 5, ELIZABETH CITY, NC 27909-6986
(252) 334-1560
(252) 334-1563
Mailing address
PO BOX 2213, ELIZABETH CITY, NC 27906-2213
(252) 334-1560
(252) 334-1563

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
NC
251J00000X
Nursing Care Agency
NC
251S00000X
Community/Behavioral Health Agency
NC
253Z00000X
In Home Supportive Care Agency
NC
332U00000X
Home Delivered Meals
NC
333300000X
Emergency Response System Companies
NC
385H00000X
Respite Care
NC

Other

Enumeration date
09/03/2013
Last updated
09/03/2013
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