Organization
MRS. JENNIE'S PLACE COMMUNITY ENRICHMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VALERIA H SUMPTER (CEO/PRESIDENT)
(919) 765-5748
Entity
Organization
Contact information
Practice address
804 COX AVE, DURHAM, NC 27701-4519
(919) 765-5748
Mailing address
506 RAVENSTONE LN, DURHAM, NC 27703-9621
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-032-425
NC
Other
Enumeration date
02/25/2008
Last updated
02/25/2008
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