Jeans Rest Home
Jeans Rest Home is a Developmental Disabilities Clinic/Center in Fayetteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.
- Licensed in
- NC
- In the registry since
- 2007
Practice location Address checks out
114 University AveFayetteville, NC 28301-3440
Phone: (910) 480-0020
Fax: (910) 480-0020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental Disabilities Clinic/Center (primary) | Taxonomy 261QD1600X · Licence FCL026029 (NC) |
|---|
Record details
| NPI number | 1942328695 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lula McDonald — Owner Admin · (910) 480-0020 |
| NPI enumerated | March 27, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 114 University Ave, Fayetteville, NC 28301-3440 |
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