Healthcare Provider Details

I. General information

NPI: 1881992329
Provider Name (Legal Business Name): THE JENNINGS GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2011
Last Update Date: 03/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 GOLDFINCH ST
FAIRMONT MN
56031-3042
US

IV. Provider business mailing address

403 GREENVILLE ST
LAGRANGE GA
30241-3324
US

V. Phone/Fax

Practice location:
  • Phone: 507-235-9405
  • Fax: 507-238-4163
Mailing address:
  • Phone: 706-884-5000
  • Fax: 706-884-5002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number351992
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number351992
License Number StateMN

VIII. Authorized Official

Name: MR. RAMSEY JENNINGS
Title or Position: PRESIDENT
Credential:
Phone: 706-884-5000