Organization · Type 2 NPI

Climbing Jacobs Ladder LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Winston Salem, NC

NPI number 1215024682 Active

Practice location

3401 Healy Dr, Suite-B
Winston Salem, NC 27103-1450

Call (336) 760-5516 Map

Fax (336) 760-5517

Mailing address

7475 Princess Anne Ct, Suite -B
Rural, NC 27045-9821

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1215024682

Climbing Jacobs Ladder LLC's National Provider Identifier is 1215024682, issued on Oct 6, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Winston Salem, NC. The record was last updated on Jun 10, 2008.