NPI | 1790237170 |
---|---|
Doing Business As | JERUSALEM LIFE ADJUSTMENT CENTER |
Entity Type | Organization |
Authorized Contact | BESSIE L BROOKS CEO/Director 662-625-6788 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Additional Taxonomies | 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child |
Enumeration Date | 2016-11-01 |
Last Update Date | 2016-11-01 |