Organization
TJT FAMILY HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAWANA SALES (OWNER/CEO)
(252) 341-1082
Entity
Organization
Contact information
Practice address
116 LEANNE DR, GREENVILLE, NC 27858-8126
(252) 341-1082
Mailing address
116 LEANNE DR, GREENVILLE, NC 27858-8126
(252) 341-1082
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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