NPI 1831680792

Gulf Gardens Residential and Community Living LLC

Organisation Developmentally Disabled Services Day Training Agency Jackson, MS

Practice location

Address: 460 Briarwood Dr STE 400, Jackson, MS 39206-3062
Phone: (601) 203-1016
Fax: (601) 709-4611

Authorised official

Name: Jacqueline C Edwards
Title: Director of Nursing
Phone: (678) 237-7183

Registered specialties (2)

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in Mississippi →

Intellectual and/or Developmental Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Mississippi →

Registry record

NPI: 1831680792
Entity type: Organization
NPI issued: 25 May 2018
Record last updated: 1 Sep 2020

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.