Organization
JMJ ENTERPRISES
Active
Other names
Fresh Start Home for Children
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACI JOHNSON MARTIN (OWNER)
(336) 375-3901
Entity
Organization
Contact information
Practice address
2020 TEXTILE DR, GREENSBORO, NC 27405-5857
(336) 271-6982
(336) 419-0456
Mailing address
2020 TEXTILE DR, GREENSBORO, NC 27405-5857
(336) 988-1552
(336) 272-6604
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
MHL-041-1095
NC
251S00000X
Community/Behavioral Health Agency
MHL-041-1115
NC
253Z00000X
In Home Supportive Care Agency
MHL-041-1115
NC
253Z00000X
In Home Supportive Care Agency
MHL0411095
NC
253Z00000X
In Home Supportive Care Agency
—
—
311Z00000X
Custodial Care Facility
—
—
311ZA0620X
Adult Care Home Facility
MHL-041-1095
NC
311ZA0620X
Adult Care Home Facility
MHL-041-1115
NC
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL041857
NC
385H00000X
Respite Care
MHL-041-1095
NC
385H00000X
Respite Care
MHL-041-1115
NC
Other
Enumeration date
08/07/2008
Last updated
05/03/2022
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