| NPI | 1255151189 |
|---|---|
| Doing Business As | JEREMIAH'S PLACE |
| Entity Type | Organization |
| Authorized Contact | CHEVELLE RICE Owner 743-255-2625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2024-10-15 |
| Last Update Date | 2024-10-15 |