Individual provider · Type 1 NPI

Jessica Foster, MHL

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Greensboro, NC

NPI number 1174118673 Active

Practice location

4545 Jessup Grove Rd
Greensboro, NC 27410-9407

Call (336) 542-0069 Map

Mailing address

1814 Savannas Run Dr
Greensboro, NC 27405-1699

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XMHL-041-1210 (NC)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1174118673

Jessica Foster, MHL's National Provider Identifier is 1174118673, issued on Mar 5, 2021. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Greensboro, NC. The record was last updated on Feb 25, 2022.