Organization
JOELS PLACE ADULT HOME
Active
Organization
JOELS PLACE ADULT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALEAN MCQUEEN LOVE R.N. (DIRECTOR OF OPERATIONS)
(910) 978-6083
Entity
Organization
Contact information
Practice address
6739 SHAD CT, STEDMAN, NC 28391-9448
(910) 484-6005
(910) 401-1010
Mailing address
6739 SHAD CT, STEDMAN, NC 28391-9448
(910) 484-6005
(910) 401-1010
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL-026-818
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418448
—
NC
Enumeration date
01/05/2007
Last updated
12/31/2007
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