# MRS. JENNIE'S PLACE COMMUNITY ENRICHMENT CENTER

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

## Provider details

- **NPI number:** 1265601223
- **Authorized official:** MS. VALERIA H SUMPTER (CEO/PRESIDENT)
- **Authorized official phone:** (919) 765-5748

## Contact information

- **Practice address:** 804 COX AVE, DURHAM, NC 27701-4519
- **Practice address phone:** (919) 765-5748
- **Mailing address:** 506 RAVENSTONE LN, DURHAM, NC 27703-9621

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-032-425 | NC | Yes |

## Other

- **Enumeration date:** 02/25/2008
- **Last updated:** 02/25/2008