Organization
AJ'S GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNIE WILLIAMS (OWNER)
(910) 630-2374
Entity
Organization
Contact information
Practice address
1918 BLAKE ST, FAYETTEVILLE, NC 28301-4117
(910) 630-2374
(910) 764-0404
Mailing address
PO BOX 1692, FAYETTEVILLE, NC 28302-1692
(910) 630-2374
(910) 764-0404
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/06/2007
Last updated
09/11/2025
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