institution
Climbing Jacobs Ladder Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Winston Salem, North Carolina
NPI 1215024682

Climbing Jacobs Ladder Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Rural, NC. Climbing Jacobs Ladder Llc practices in Winston Salem, NC. The NPI Number for Climbing Jacobs Ladder Llc is 1215024682 and holds a License No. (North Carolina).

The current practice location address for Climbing Jacobs Ladder Llc is 3401 Healy Dr, Winston Salem, NC and can be reached out via phone at 336-760-5516 and via fax at 336-760-5517.

Location: 3401 Healy Dr, Winston Salem, NC, 27045-9821
institution
Provider Profile Details
NPI Number
1215024682
Provider Name
Climbing Jacobs Ladder Llc
Credential
Provider Entity Type
Organization
Address
3401 Healy Dr, Winston Salem, NC, 27045-9821
Phone Number
336-760-5516
Fax Number
336-760-5517
Provider Enumeration Date
10/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8301092 05 NC
institution
Provider Business Practice Location Address Details
Address
3401 Healy Dr
City
State
Zip
27103-1450
Phone Number
336-760-5516
Fax Number
336-760-5517
person
Provider Business Mailing Address Details
Address
3401 Healy Dr
City
State
Zip
27103-1450
Phone Number
336-760-5516
Fax Number
336-760-5517
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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