Individual
JILLIAN KIME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAED
Contact information
Practice address
241 COMMERCE ST STE A, GREENVILLE, NC 27858-5029
(252) 714-1863
(252) 364-3226
Mailing address
1104 SCARLET OAK DR, GREENVILLE, NC 27858-8444
(910) 590-7788
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
2018374059
NC
Other
Enumeration date
10/06/2018
Last updated
10/06/2018
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