Individual provider · Type 1 NPI
Jacqueline McMillian
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Fayetteville, NC
Practice location
5302 Slater Ave.
Fayetteville, NC 28301
Mailing address
PO Box 26102
Fayetteville, NC 28314-5018
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | 7805049 (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.
Other intellectual and/or developmental disabilities residential treatment facility providers in Fayetteville
About NPI 1477676500
Jacqueline McMillian's National Provider Identifier is 1477676500, issued on Apr 6, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Fayetteville, NC. The record was last updated on Jul 8, 2007.