Organization · Type 2 NPI

Lateefah Khadejah Irvine

Adult Care Home Facility · Kinston, NC

NPI number 1760085542 Active

Practice location

1406 E Shine St
Kinston, NC 28501-5836

Call (252) 527-0438 Map

Fax (252) 527-0433

Mailing address

3532 Lena Ln
Greenville, NC 27834-6163

Specialties and licenses

Taxonomy	Code	License
Adult Care Home Facility Primary	311ZA0620X	None listed

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

2 other providers at this address

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About NPI 1760085542

Lateefah Khadejah Irvine's National Provider Identifier is 1760085542, issued on Nov 16, 2020. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Kinston, NC. The record was last updated on Jul 8, 2025.