Organization
NACOLBY'S HOUSE, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH JENNINGS (FOUNDER/CEO)
(757) 717-1960
Entity
Organization
Contact information
Practice address
104 PRISTINE DR, LOCUST GROVE, GA 30248-3746
(757) 717-1960
Mailing address
PO BOX 2513, CHESAPEAKE, VA 23327-2513
Taxonomy
Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
—
GA
Other
Enumeration date
07/26/2014
Last updated
07/26/2014
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