Miss Jos PCH

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

MISS JOS PCH

Practice address

601 McDonald St
Waycross, GA 31503-4704

Phone

(912) 283-8587

Fax

(912) 283-4581

NPI assigned

Oct 8, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Joletha S WilliamsNPI 1245337146

Title

Owner/Ceo

Phone

(912) 283-4581

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joletha Williams

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Waycross, GA
  • NPI 1245337146
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254960000000",
    "number": "1598090581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MCDONALD ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315034704",
            "telephone_number": "912-283-8587",
            "fax_number": "912-283-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MCDONALD ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315034704",
            "telephone_number": "912-283-8587",
            "fax_number": "912-283-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISS JOS PCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-08",
        "last_updated": "2009-10-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JOLETHA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "912-283-4581",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marah Johnson Miles, FNP-C
• Robert L Miles, D.C.
• Tanya D Miller, FAMILY NURSE PRACTIT
• Kalie Jean Minchew, PHARMD
• Caleb Mingo, CAA
• Michelle Mitchell, CCC-SLP
• Erin Holcomb Mixon, AUD
• Jacqueline H Moder
• Martha Lou Molina
• Andrea D Moody, N.P.

• Intellectual Disabilities Intermediate Care Facility in Waycross, GA
• Providers in Waycross, GA by specialty
• Intellectual Disabilities Intermediate Care Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.