| NPI | 1366752578 |
|---|---|
| Doing Business As | IJN ADULT PERSONAL CARE HOME |
| Entity Type | Organization |
| Authorized Contact | GINA BLAKE Director 404-447-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: GA 416579002A) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-21 |