Jewell'S Place
Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Comer, GA
NPI 1013288539 · NPPES record last updated Jan 13, 2012
Key facts
- NPI
- 1013288539
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
- Legal business name
- JEWELL'S PLACE
- Practice address
- 517 Watson Mill Rd
Comer, GA 30629-6124 - Phone
- (706) 225-1296
- NPI assigned
- Jan 13, 2012
- Organization subpart
- Yes
- Parent organization (as reported)
- ABHS
Authorized official
- Name
- Glenn Butler
- Title
- Billing MGR
- Phone
- (706) 389-6789
Corporate family (same tax ID) 12
National Provider Directory
- Tax ID family
- True Comfort Care Home 6
- Part of
- True Comfort Care Home 6
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Yes |
Addresses
Primary practice location
517 Watson Mill Rd
Comer, GA 30629-6124
Mailing address
250 North Ave
Athens, GA 30601-2244
Phone (706) 389-6789
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- Darla Jean Hudson
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- Alison Leigh McCorkle
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All providers in Comer, GA · Intellectual and/or Developmental Disabilities Residential Treatment Facility in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.