NPI 1295143881

Nacolby's House, Incorporated

Organisation Child Physical Disabilities Respite Care Locust Grove, GA

Practice location

Address: 104 Pristine Dr, Locust Grove, GA 30248-3746
Phone: (757) 717-1960
Mailing address: PO Box 2513, Chesapeake, VA 23327-2513

Authorised official

Name: Deborah Jennings
Title: Founder/Ceo
Phone: (757) 717-1960

Registered specialties

Child Physical Disabilities Respite Care Primary

Respite Care Facility Taxonomy 385HR2065X

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Registry record

NPI: 1295143881
Entity type: Organization
NPI issued: 26 Jul 2014
Record last updated: 26 Jul 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.