Organization
ST JAMES PLACE, INC
Active
Other names
St James Place, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA BULLARD-MANUEL (PRESIDENT)
(706) 315-7723
Entity
Organization
Contact information
Practice address
2027 ALTA VISTA DR, COLUMBUS, GA 31907-3213
(706) 221-8578
(706) 221-9206
Mailing address
2027 ALTA VISTA DR, COLUMBUS, GA 31907-3213
(706) 221-8578
(706) 221-9206
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000982022A
—
GA
Enumeration date
05/04/2018
Last updated
05/04/2018
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