# THE JANICE MAE HAWKINS FOUNDATION INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** S & S SPOONRIDGE GROUP HOME
- **Other names:** S & S Spoonridge Group Home
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1467616318
- **Legal business name:** S & S SPOONRIDGE GROUP HOME
- **Authorized official:** MS. SHERYL ANNETTE LYONS RN BSN (ADMINISTRATOR CEO)
- **Authorized official phone:** (910) 864-3426

## Contact information

- **Practice address:** 723 GLEN REILLY DR, FAYETTEVILLE, NC 28314-5600
- **Practice address phone:** (910) 864-3426
- **Practice address fax:** (910) 491-6803
- **Mailing address:** 3359 GABLES DRIVE, FAYETTEVILLE, NC 28301
- **Mailing address phone:** (910) 864-3426
- **Mailing address fax:** (910) 491-6803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL026809 | NC | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | MHL026809 | NC | — |

## Other

- **Enumeration date:** 07/10/2008
- **Last updated:** 04/17/2014