# NOVELLA'S PLACE, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1477737112
- **Authorized official:** MR. JESSE JAMES BANKS JR. (FINANCIAL ADMINISTRATION)
- **Authorized official phone:** (919) 427-1402

## Contact information

- **Practice address:** 2128 OLD MILBURNIE RD, RALEIGH, NC 27604-9642
- **Practice address phone:** (919) 266-0146
- **Practice address fax:** (919) 266-0146
- **Mailing address:** 1307 E MILLBROOK RD, SUITE C-15, RALEIGH, NC 27609-5476
- **Mailing address phone:** (919) 427-1402
- **Mailing address fax:** (919) 828-1624

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | MHL-032-418 | NC | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-032-418 | NC | Yes |

## Other

- **Enumeration date:** 12/17/2007
- **Last updated:** 01/12/2008