Whalio Doctors

NPI 1215347190

Jdm Adams Personal Care Home

Organisation Respite Care Stockbridge, GA

Practice location

Address
811 McCullough Rd, Stockbridge, GA 30281-4901
Phone
(770) 477-1776
Fax
(770) 477-1776
Mailing address
803 McCullough Rd, Stockbridge, GA 30281-4901

Authorised official

Name
Leatha Adams
Title
Owner
Phone
(770) 477-1776

Registered specialties

Respite Care Primary
Respite Care Facility Taxonomy 385H00000X Licence 385H00000X (GA)

Registry record

NPI
1215347190
Entity type
Organization
NPI issued
1 May 2014
Record last updated
22 Jan 2015

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.