Gulf Gardens Residential And Community Living Llc
May also be knows as Ggrcl
Developmentally Disabled Services Day Training Agency in Jackson, MS(View on Map)
Legal Business Name
Gulf Gardens Residential And Community Living Llc
Also Known As
Ggrcl
NPI Number
1831680792
NPI Type
Organization
Enumeration Date
05/25/2018
Specialties
(Taxonomies)Name
Code
251C00000X
320600000X
Primary Taxonomy
Yes
No
Contact
Information
Purpose
Mailing
Location
Address
460 BRIARWOOD DR STE 400
460 BRIARWOOD DR STE 400
City
Jackson
Jackson
State
MS
MS
Postal Code
39206-3062
39206-3062
Country
US
US
Telephone Number
(601) 203-1016
(601) 203-1016
Authorized Official
Name
Jacqueline Edwards
Title or Position
DIRECTOR OF NURSING
Telephone Number
(678) 237-7183
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/01/2020
Provider Address
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