Organization
JNJ HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYEE KABBA (MEMBER)
(631) 994-4253
Entity
Organization
Contact information
Practice address
11431 NORTHWOODS FOREST DR, CHARLOTTE, NC 28214-8814
(631) 994-4253
Mailing address
11431 NORTHWOODS FOREST DR, CHARLOTTE, NC 28214-8814
(631) 994-4253
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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