Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Foster, MHL

Individual provider Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1174118673

Jessica Foster, MHL is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Greensboro, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2021
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Practice location Address checks out

4545 Jessup Grove Rd
Greensboro, NC 27410-9407
Phone: (336) 542-0069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X · Licence MHL-041-1210 (NC)

Record details

NPI number1174118673
Entity typeIndividual (Type 1)
GenderFemale
Credentials MHL
Sole proprietorYes
NPI enumeratedMarch 5, 2021
Last updated in NPPESFebruary 25, 2022
Certification dateFebruary 25, 2022

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