Organization
FULL OF JOY HOMES,LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GWENETTA LASHAWN PEARSON (DIRECTOR)
(919) 584-1472
Entity
Organization
Contact information
Practice address
604 BIZZELL CT, GOLDSBORO, NC 27530-4606
(919) 584-1472
(919) 736-0830
Mailing address
604 BIZZELL CT, GOLDSBORO, NC 27530-4606
(919) 584-1472
(919) 736-0830
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
07/19/2009
Last updated
07/19/2009
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