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Organization

THE JONATHAN FOUNDATION

Active
Other names
Adult Keepers
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ADRIANA JACKSON GANTT (FOUNDER/CEO)
(478) 785-1337
Entity
Organization

Contact information

Practice address
312 JUNIPER LN, MACON, GA 31220-7642
(478) 254-2969
(478) 254-2969
Mailing address
PO BOX 27843, MACON, GA 31221-7843
(478) 254-2969
(478) 254-2969

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary

Other

Enumeration date
08/12/2008
Last updated
08/29/2009
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