Organization
JRTRANSI, LLC
Active
Other names
JrTransi, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA JEAN FRASER BA,ED (OWNER)
(304) 960-9348
Entity
Organization
Contact information
Practice address
10935 EMERALD WOOD DR, HUNTERSVILLE, NC 28078-2419
(304) 960-9348
Mailing address
10935 EMERALD WOOD DR, HUNTERSVILLE, NC 28078-2419
(304) 960-9348
(304) 960-9348
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
CCSI20285
NC
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
08/14/2017
Last updated
10/04/2023
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