Organization · Type 2 NPI
Jerusalem Outreach Center, Inc
Adult Care Home Facility · Charleston, MS
NPI number
1790237170
Active
Practice location
710 Marshall St
Charleston, MS 38921-9506
Fax (662) 625-6787
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
| Child Physical Disabilities Respite Care | 385HR2065X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
About NPI 1790237170
Jerusalem Outreach Center, Inc's National Provider Identifier is 1790237170, issued on Nov 1, 2016. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Charleston, MS. The record was last updated on Nov 1, 2016.