Organization
JONES CODY PERSONAL CARE HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORIS JONES CODY (CEO)
(404) 484-0054
Entity
Organization
Contact information
Practice address
787 WYNBROOKE PKWY, STONE MOUNTAIN, GA 30087-6323
(404) 484-0054
Mailing address
1455 ALBANS CT, LITHONIA, GA 30058-5639
(404) 484-0054
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298402594C
—
GA
05
—
298402594D
—
GA
Enumeration date
09/20/2012
Last updated
09/20/2012
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