Provider Demographics
NPI:1780619320
Name:JEROLIN MANAGEMENT SERVICES, LLC
Entity type:Organization
Organization Name:JEROLIN MANAGEMENT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
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 1:17 W HUNDRED RD
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23836-2501
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:2006-07-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services