Healthcare Provider Details

I. General information

NPI: 1821468281
Provider Name (Legal Business Name): JOR-DAY ENTERPRISES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2015
Last Update Date: 09/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6686 PRINCETON PARK CT
LITHONIA GA
30058-3073
US

IV. Provider business mailing address

6686 PRINCETON PARK CT
LITHONIA GA
30058-3073
US

V. Phone/Fax

Practice location:
  • Phone: 678-994-6745
  • Fax:
Mailing address:
  • Phone: 678-994-6745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: G. PATRICK JOHNSON
Title or Position: PRESIDENT
Credential:
Phone: 678-994-6745