Organization · Type 2 NPI

Kiononia Haven Homes, LLC

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

NPI number 1396095147 Active

Practice location

507 Tobacco Rd
Rocky Mount, NC 27801-6936

Call (252) 266-5496 Map

Mailing address

1444 Jeffreys Road, Pmb 273
Rocky Mount, NC 27804

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XNone listed
Foster Care Agency 253J00000XNone listed
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X0000000000 (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 1396095147

Kiononia Haven Homes, LLC's National Provider Identifier is 1396095147, issued on Sep 19, 2012. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Rocky Mount, NC. The record was last updated on Sep 19, 2012.