Organization
JEHOVAH-JIREH
Active
Other names
Jehovah-Jireh
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNIE J CARTER (DIRECTOR)
(912) 437-2369
Entity
Organization
Contact information
Practice address
1121 CA DEVILLARS RD, DARIEN, GA 31305-9749
(912) 437-2369
Mailing address
1121 CA DEVILLARS RD, DARIEN, GA 31305-9749
(912) 437-2369
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/23/2010
Last updated
06/29/2010
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