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Organization

JIREH PROVIDERS L.L.C

Active
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Organization

JIREH PROVIDERS L.L.C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. WANDA MARIE BURNS RBT (OWNER)
(704) 360-4292
Entity
Organization

Contact information

Practice address
344 ROLLING HILL RD STE 201, MOORESVILLE, NC 28117-6865
(704) 360-4292
Mailing address
344 ROLLING HILL RD STE 201, MOORESVILLE, NC 28117-6865
(980) 219-0907

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—

Other

Enumeration date
07/23/2025
Last updated
08/04/2025
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