Organization
JASMINE PERSONAL CARE HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS CORNELL HEYWARD (EXECUTIVE DIRECTOR)
(912) 547-4858
Entity
Organization
Contact information
Practice address
25 CANTERBURY CIR, SAVANNAH, GA 31419-2700
(912) 547-4858
Mailing address
25 CANTERBURY CIR, SAVANNAH, GA 31419-2700
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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