Organization
JEST GROUP HOMES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. QUENZELL THOMAS (OWNER)
(910) 690-3371
Entity
Organization
Contact information
Practice address
4802 ABERDEEN RD, RAEFORD, NC 28376-7854
(910) 690-3371
(910) 944-0551
Mailing address
4802 ABERDEEN RD, RAEFORD, NC 28376-7854
(910) 690-3371
(910) 944-0551
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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