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Organization
IRVING FAMILY HOME
Active
Organization
IRVING FAMILY HOME
Active
Other names
Irving Family Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICTORIA ANN IRVING (OWNER)
(910) 455-1241
Entity
Organization
Contact information
Practice address
112 LANCE CT, JACKSONVILLE, NC 28546-8640
(910) 455-1241
Mailing address
112 LANCE CT, JACKSONVILLE, NC 28546-8640
(910) 455-1241
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
02/22/2007
Last updated
08/22/2020
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