Organization
JAC NURSING REGISTRY INTERNATIONAL INC
Active
Other names
Jac Nursing Registry internatl Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRIS MOODY CBCS (PRACRICE MANAGER)
(678) 705-2633
Entity
Organization
Contact information
Practice address
4500 HUGH HOWELL RD, 320, TUCKER, GA 30084-4723
(770) 753-9070
(770) 621-9433
Mailing address
7078 BILTMORE TRCE, LITHONIA, GA 30058-2962
(770) 753-9070
(770) 621-9433
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
041157362
GA
373H00000X
Day Training/Habilitation Specialist
041157362
GA
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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