Organization
SOUTHERLAND CLARK ENTERPRISES LLC
Active
Other names
Academy Lifelong Learning (ALL)
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIOUS SHERMAN JONES (DIRECTOR)
(706) 955-3853
Entity
Organization
Contact information
Practice address
315 N. LOUISVILLE ST., HARLEM, GA 30814
(706) 955-5558
Mailing address
PO BOX 854, HARLEM, GA 30814-0854
(706) 955-5558
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
09/28/2015
Last updated
10/27/2015
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