Organization
JAIJA HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JAYEE BOHN (DIRECTOR OF OPERATIONS)
(704) 430-2064
Entity
Organization
Contact information
Practice address
439 WRAYHILL DR, CHARLOTTE, NC 28262-1612
(704) 717-2708
Mailing address
439 WRAYHILL DR, CHARLOTTE, NC 28262-1612
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-060-1055
NC
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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