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Organization

DELLJO ENTERPRISES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KENNETH D DELLINGER QDDP (MEMBER/MANAGER)
(828) 382-0031
Entity
Organization

Contact information

Practice address
106 CRESTLANE DR, MORGANTON, NC 28655
(828) 382-0031
(828) 382-0068
Mailing address
PO BOX 8222, MORGANTON, NC 28680
(828) 382-0031
(828) 382-0068

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
05/17/2010
Last updated
05/17/2010
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