Provider Demographics
NPI:1063654234
Name:JEROLIN MANAGEMENT SERVICES, LLC
Entity Type:Organization
Organization Name:JEROLIN MANAGEMENT SERVICES, LLC
Other - Org Name:RESIDENTIAL SERVICES AT RIVERS BEND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:804-530-5620
Mailing Address - Street 1:PO BOX 3106
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-8458
Mailing Address - Country:US
Mailing Address - Phone:804-530-5620
Mailing Address - Fax:804-530-5621
Practice Address - Street 1:13293 RIVERS BEND BLVD
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23836-8610
Practice Address - Country:US
Practice Address - Phone:804-530-5620
Practice Address - Fax:804-530-5621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-02
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services