Provider Demographics
NPI:1952557837
Name:THE JONATHAN FOUNDATION
Entity Type:Organization
Organization Name:THE JONATHAN FOUNDATION
Other - Org Name:ADULT KEEPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADRIANA
Authorized Official - Middle Name:JACKSON
Authorized Official - Last Name:GANTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-785-1337
Mailing Address - Street 1:PO BOX 27843
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31221-7843
Mailing Address - Country:US
Mailing Address - Phone:478-254-2969
Mailing Address - Fax:478-254-2969
Practice Address - Street 1:312 JUNIPER LN
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31220-7642
Practice Address - Country:US
Practice Address - Phone:478-254-2969
Practice Address - Fax:478-254-2969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-12
Last Update Date:2009-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable