Organization
JORDAN HOUSE FONDATION
Active
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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