NPI 1124428024

Prosperity Support Services, INC.

Organisation Early Intervention Provider Agency Jonesboro, GA

Practice location

Address: 723 River Valley Dr, Jonesboro, GA 30238-5793
Phone: (678) 520-6043

Authorised official

Name: Jewandra Rawls
Title: Founder, Chief Executive
Phone: (678) 520-6043

Registered specialties (3)

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

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Case Management Agency

Agencies Taxonomy 251B00000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Registry record

NPI: 1124428024
Entity type: Organization
NPI issued: 27 Aug 2014
Record last updated: 27 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.