# JORDAN HGH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jordan HGH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962275511
- **Authorized official:** MELISSA ROBERTA JORDAN LPN (CEO)
- **Authorized official phone:** (919) 914-1287

## Contact information

- **Practice address:** 5106 OLDE FOREST DR, GREENSBORO, NC 27406-8718
- **Practice address phone:** (919) 914-1287
- **Mailing address:** 806 GREEN VALLEY RD STE 200, GREENSBORO, NC 27408-7076
- **Mailing address phone:** (888) 475-6732

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 11/06/2023
- **Last updated:** 11/06/2023