Individual provider · Type 1 NPI
Lamont Lane
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Fayetteville, NC
Practice location
6666 Julliard Dr
Fayetteville, NC 28311-0134
Mailing address
41 Great Pine Ct
Spring Lake, NC 28390-7158
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Another provider at this address
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Fayetteville
About NPI 1962350355
Lamont Lane's National Provider Identifier is 1962350355, issued on Mar 20, 2026. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Fayetteville, NC. The record was last updated on Mar 20, 2026.