Organization
A PLACE OF MY OWN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOI JACKSON (OWNER)
(704) 965-7210
Entity
Organization
Contact information
Practice address
315 LOWER POND RD, KANNAPOLIS, NC 28083-6526
(704) 925-1158
(855) 975-3055
Mailing address
315 LOWER POND RD, KANNAPOLIS, NC 28083-6526
(704) 925-1158
(855) 975-3055
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
311Z00000X
Custodial Care Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
11/30/2020
Last updated
08/27/2021
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