Providence Place LLC
Providence Place LLC is a Developmentally Disabled Services Day Training Agency in Jesup, Georgia. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
249 Joe Naia RdJesup, GA 31545-4112
Phone: (912) 415-1313
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (primary) | Taxonomy 310400000X |
|---|---|
| Developmentally Disabled Services Day Training Agency | Taxonomy 251C00000X |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | Taxonomy 320600000X |
Record details
| NPI number | 1063132876 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Providence Place LLC |
| Authorized official | Stephanie Chadwick — Owner · (912) 415-1313 |
| Other names | Cotton Grove Estate |
| NPI enumerated | August 31, 2022 |
| Last updated in NPPES | August 31, 2022 |
| Certification date | August 31, 2022 |
| Mailing address | 249 Joe Naia Rd, Jesup, GA 31545-4112 |