Mary L McCullers-Jackson
Mary L McCullers-Jackson is an Adult Care Home Facility in Zebulon, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.
- Licensed in
- NC
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
501 Bunn StZebulon, NC 27597-9177
Phone: (919) 269-3060
Fax: (919) 266-7901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X · Licence MHL 092 516 (NC) |
|---|---|
| Adult Care Home Facility | Taxonomy 311ZA0620X · Licence MHL092516 (NC) |
Record details
| NPI number | 1912021486 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mary McCullers Jackson — Owner Administrator · (919) 266-5291 |
| NPI enumerated | March 19, 2007 |
| Last updated in NPPES | June 26, 2008 |
| Mailing address | 5641 Quail Covey Lane, Wendell, NC 27591-7901 |
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