Provider Demographics
NPI:1487161519
Name:THE JOURNEY OF KNOWLEDGE
Entity type:Organization
Organization Name:THE JOURNEY OF KNOWLEDGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:Q
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-760-4803
Mailing Address - Street 1:2460 TERRY RD STE 400
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39204-5777
Mailing Address - Country:US
Mailing Address - Phone:601-760-4803
Mailing Address - Fax:866-323-3772
Practice Address - Street 1:2460 TERRY RD STE 400
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39204-5777
Practice Address - Country:US
Practice Address - Phone:601-760-4803
Practice Address - Fax:866-323-3772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-10
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care