Organization
NELL'S PERSONAL CARE HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLIFFORD L. JACKSON (CEO)
(770) 471-2287
Entity
Organization
Contact information
Practice address
8990 STERLING RIDGE LN, JONESBORO, GA 30238-4659
(770) 471-2287
(770) 471-6622
Mailing address
8990 STERLING RIDGE LN, JONESBORO, GA 30238-4659
(770) 471-2287
(770) 471-6622
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
031012541
GA
320700000X
Physical Disabilities Residential Treatment Facility
031012541
GA
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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