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Organization

JORDAN HOUSE FONDATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BOBBY WILLIAMS (ADMINISTRATOR)
(716) 449-8090
Entity
Organization

Contact information

Practice address
3139 METTHAME DR, FAYETTEVILLE, NC 28306-7518
(716) 449-8090
Mailing address
3139 METTHAME DR, FAYETTEVILLE, NC 28306-7518

Taxonomy

Speciality
Code
Description
License number
State
344600000X
Taxi
Primary

Other

Enumeration date
09/24/2019
Last updated
09/24/2019
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