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Organization
PRESTIGIOUS HOMES OF NC INC.
Active
Organization
PRESTIGIOUS HOMES OF NC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHAKA TERRILL JONES (DIRECTOR)
(252) 521-9340
Entity
Organization
Contact information
Practice address
2094 WILL CUNNINGHAM RD, DEEP RUN, NC 28525-9583
(252) 521-9340
Mailing address
834 PENDER ST, ROCKY MOUNT, NC 27801-5726
(252) 521-9340
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
FCL033007
NC
Other
Enumeration date
06/06/2011
Last updated
11/14/2012
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