Organization
GAINESVILLE JAYCEES VOCATIONAL REHAB CENTER, INC.
Active
Other names
Rehabilitation Industries of N.E. GA
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA PHILLIPS MBA (EXECUTIVE DIRECTOR)
(770) 535-7464
Entity
Organization
Contact information
Practice address
930 ATHENS ST, GAINESVILLE, GA 30501-6937
(770) 535-7464
(770) 531-5697
Mailing address
PO BOX 907413, GAINESVILLE, GA 30501-0907
(770) 535-7464
(770) 531-5697
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000800456A
—
GA
Enumeration date
07/24/2012
Last updated
07/24/2012
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