Organization
JACER CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA SOHAN (ASSOCIATE/REPRESENTATIVE)
(703) 931-8702
Entity
Organization
Contact information
Practice address
1061 HARMON AVE, STE 1D03, FT STEWART, GA 31314-5611
(912) 435-6633
Mailing address
309 KUWE TRAIL, HINESVILLE, GA 31313
(912) 368-6252
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
RN166963
GA
Other
Enumeration date
10/04/2006
Last updated
08/22/2020
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