Adjr, LLC
Organization Active NPI Developmentally Disabled Services Day Training Agency · Monticello, MS
NPI 1013353309 · NPPES record last updated May 14, 2013
Key facts
- NPI
- 1013353309
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- License
- 251QA0600X (MS)
- Legal business name
- ADJR, LLC
- Practice address
- 1134 E Broad St
Monticello, MS 39654-7681 - Phone
- (601) 587-9226
- NPI assigned
- May 14, 2013
- Organization subpart
- No
Authorized official
- Name
- Carrol Ann Hudspeth
- Title
- Owner
- Phone
- (601) 587-1498
Practitioners 1
National Provider Directory
Locations
1134 E Broad St
Monticello, MS 39654
Phone (601) 587-1142
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 251QA0600X | MS | Yes |
Addresses
Primary practice location
1134 E Broad St
Monticello, MS 39654-7681
Mailing address
PO Box 1337
Monticello, MS 39654-1337
Phone (601) 587-1498
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07684032 | Medicaid | MS |
Other names
- Runnels Creek Adult Day Care Svcs
Other providers in Monticello, MS
- Ability, LLC - II
- Brandy Nicole Anderson
- Atwood Emergency Physicians LLC
- Bathsheba Nicole Badon
- Blake A. Ballard
- Bonita C. Musial
All providers in Monticello, MS · Developmentally Disabled Services Day Training Agency in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2013. 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.