Organization
NEW JERUSALEM ADULT DAY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA ARLENE EDMONDSON BA (DIRECTOR)
(770) 981-7408
Entity
Organization
Contact information
Practice address
5721 MILLER GROVE RD, LITHONIA, GA 30058-4823
(770) 981-7408
Mailing address
5721 MILLER GROVE RD, LITHONIA, GA 30058-4823
(770) 298-0640
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
727252881A
—
GA
Enumeration date
01/26/2011
Last updated
07/21/2022
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