Individual
RHONDA JELKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2788 HORSESHOE DR, MACON, GA 31211-7430
(478) 501-0114
Mailing address
2788 HORSESHOE DR, MACON, GA 31211-7430
(478) 501-0114
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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