Organization · Type 2 NPI

Mrs. Jennie's Place Community Enrichment Center

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

NPI number 1265601223 Active

Practice location

804 Cox Ave
Durham, NC 27701-4519

Mailing address

506 Ravenstone Ln
Durham, NC 27703-9621

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XMHL-032-425 (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 1265601223

Mrs. Jennie's Place Community Enrichment Center's National Provider Identifier is 1265601223, issued on Feb 25, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Durham, NC. The record was last updated on Feb 25, 2008.