Organization
DJ'S HOUSE CROP
Active
Other names
DJ'S House Crop
Organization subpart
No
Provider details
NPI number
Authorized official
CORLISS C WILLIAMS (OWNER)
(252) 820-2395
Entity
Organization
Contact information
Practice address
7048 NC 210 HWY, SMITHFIELD, NC 27577
(252) 701-3177
Mailing address
7048 NC 210 HWY, SMITHFIELD, NC 27577
(252) 701-3177
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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