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ADJR LLC NPI 1013353309


NPI Information

NPI: 1013353309
Provider Name: ADJR, LLC

Doing Business As: RUNNELS CREEK ADULT DAY CARE SVCS

Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
1134 E BROAD ST
MONTICELLO, MS
ZIP 39654
Phone: (601) 587-9226
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ADJR, LLC is a day training developmentally disabled services in Monticello, MS. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. ADJR, LLC NPI is 1013353309. The provider is registered as an organization entity type.
The provider Is Doing Business As Runnels Creek Adult Day Care Svcs.

The provider's business location address is:

1134 E BROAD ST
MONTICELLO, MS
ZIP 39654-681
Phone: (601) 587-9226

The provider's authorized official is Carrol Ann Hudspeth .
The authorized official title is Owner and has the following contact phone number (601) 587-1498.

The enumeration date for this NPI number is 5/14/2013 and was last updated on 5/14/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251C00000XDay Training, Developmentally Disabled Services251QA0600XMISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
107684032MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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