# JADA'S HOUSE,LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255512877
- **Authorized official:** MRS. NICOLE TAFT (DIRECTOR)
- **Authorized official phone:** (252) 412-0797

## Contact information

- **Practice address:** 3987 STERLING POINTE DR, LLL-1, WINTERVILLE, NC 28590-9243
- **Practice address phone:** (252) 830-3934
- **Mailing address:** PO BOX 2193, GREENVILLE, NC 27836-0193
- **Mailing address phone:** (252) 412-0797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-074-187 | NC | Yes |

## Other

- **Enumeration date:** 11/26/2007
- **Last updated:** 11/26/2007