Organization
J&J RETIREMENT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA D JACKSON (OWNER)
(229) 889-8287
Entity
Organization
Contact information
Practice address
1214 WHISPERING PINES RD, ALBANY, GA 31707-3623
(229) 889-8287
Mailing address
1214 WHISPERINGPINES RD, ALBANY, GA 31707-3623
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
047020601
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000482413A
—
GA
05
—
000482413B
—
GA
Enumeration date
04/10/2007
Last updated
06/26/2008
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