Individual provider · Type 1 NPI
Jacqueline Kirby
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Greensboro, NC
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
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None 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.