Organization
JHLC MEDICAL SERVICES, LLC
Active
Parent organization
JEWISH HOME LIFE COMMUNITIES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JEWISH HOME LIFE COMMUNITIES, INC
Authorized official
NEELAM RAHATEKAR (EXECUTIVE DIRECTOR)
(404) 351-8410
Entity
Organization
Contact information
Practice address
3150 HOWELL MILL RD NW, ATLANTA, GA 30327-2108
(404) 351-8410
Mailing address
3150 HOWELL MILL RD NW, ATLANTA, GA 30327-2108
(404) 351-8410
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
060-130-H
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060-130-H
LICENSE
GA
Enumeration date
07/08/2016
Last updated
08/03/2016
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