Organization · Type 2 NPI
J-Lo Homes, LLC
Mental Illness Community Based Residential Treatment Facility · Goldsboro, NC
NPI number
1033318969
Active
Practice location
208 Randall Ln
Goldsboro, NC 27534-8837
Fax (919) 734-4950
Mailing address
400 S Pineview Ave
Goldsboro, NC 27530-6039
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | MHL-096-200 (NC) |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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About NPI 1033318969
J-Lo Homes, LLC's National Provider Identifier is 1033318969, issued on Jul 11, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Goldsboro, NC. The record was last updated on Jul 11, 2007.