person
Jessica Foster, MHL
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Greensboro, North Carolina
NPI 1174118673

Jessica Foster is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Greensboro, NC. Jessica Foster practices in Greensboro, NC and has the professional credentials of MHL. The NPI Number for Jessica Foster is 1174118673 and holds a License No. MHL-041-1210 (North Carolina).

The current practice location address for Jessica Foster is 4545 Jessup Grove Rd, Greensboro, NC and can be reached out via phone at 336-542-0069.

Location: 4545 Jessup Grove Rd, Greensboro, NC, 27405-1699
person
Provider Profile Details
NPI Number
1174118673
Provider Name
Jessica Foster
Credential
MHL
Provider Entity Type
Individual
Gender
Female
Address
4545 Jessup Grove Rd, Greensboro, NC, 27405-1699
Phone Number
336-542-0069
Fax Number
Provider Enumeration Date
03/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4545 Jessup Grove Rd
City
State
Zip
27410-9407
Phone Number
336-542-0069
Fax Number
person
Provider Business Mailing Address Details
Address
4545 Jessup Grove Rd
City
State
Zip
27410-9407
Phone Number
336-542-0069
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
MHL-041-1210 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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