Organization
NEW JERUSALEM HOMELESS MINISTRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIE M VINCENT JR. (CEO/EXECUTIVE DIRECTOR)
(678) 516-7009
Entity
Organization
Contact information
Practice address
67 ROCKPORT DR, RIVERDALE, GA 30274-6706
(678) 516-7009
(678) 479-0651
Mailing address
67 ROCKPORT DR, RIVERDALE, GA 30274-6706
(678) 516-7009
(678) 479-0651
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
08/23/2008
Last updated
08/23/2008
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