Organization
JADA'S HOUSE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE TAFT (DIRECTOR)
(252) 412-0797
Entity
Organization
Contact information
Practice address
3987 STERLING POINTE DR, LLL-1, WINTERVILLE, NC 28590-9243
(252) 830-3934
Mailing address
PO BOX 2193, GREENVILLE, NC 27836-0193
(252) 412-0797
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-074-187
NC
Other
Enumeration date
11/26/2007
Last updated
11/26/2007
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