# JEST GROUP HOMES INC

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

## Provider details

- **NPI number:** 1275808990
- **Authorized official:** MR. QUENZELL THOMAS (OWNER)
- **Authorized official phone:** (910) 690-3371

## Contact information

- **Practice address:** 4802 ABERDEEN RD, RAEFORD, NC 28376-7854
- **Practice address phone:** (910) 690-3371
- **Practice address fax:** (910) 944-0551
- **Mailing address:** 4802 ABERDEEN RD, RAEFORD, NC 28376-7854
- **Mailing address phone:** (910) 690-3371
- **Mailing address fax:** (910) 944-0551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 03/13/2012
- **Last updated:** 03/13/2012