Individual provider · Type 1 NPI

Jacqueline Kirby

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

NPI number 1477045714 Active

Practice location

5212 Fox Hunt Dr Apt A
Greensboro, NC 27407-7118

Mailing address

1509 Guinness Dr
Mc Leansville, NC 27301-9512

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

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 1477045714

Jacqueline Kirby's National Provider Identifier is 1477045714, issued on Jun 2, 2018. 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 Jun 2, 2018.