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The Janice Mae Hawkins Foundation Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fayetteville, North Carolina
NPI 1467616318

The Janice Mae Hawkins Foundation Inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Fayetteville, NC. The Janice Mae Hawkins Foundation Inc practices in Fayetteville, NC. The NPI Number for The Janice Mae Hawkins Foundation Inc is 1467616318 and holds a License No. MHL026809 (North Carolina).

The current practice location address for The Janice Mae Hawkins Foundation Inc is 723 Glen Reilly Dr, Fayetteville, NC and can be reached out via phone at 910-864-3426 and via fax at 910-491-6803.

Location: 723 Glen Reilly Dr, Fayetteville, NC, 28301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467616318
Provider Name
The Janice Mae Hawkins Foundation Inc
Credential
Provider Entity Type
Organization
Address
723 Glen Reilly Dr, Fayetteville, NC, 28301
Phone Number
910-864-3426
Fax Number
910-491-6803
Provider Enumeration Date
07/10/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3409680 05 NC
institution
Provider Business Practice Location Address Details
Address
723 Glen Reilly Dr
City
Fayetteville
State
North Carolina
Zip
28314-5600
Phone Number
910-864-3426
Fax Number
910-491-6803
person
Provider Business Mailing Address Details
Address
723 Glen Reilly Dr
City
Fayetteville
State
North Carolina
Zip
28314-5600
Phone Number
910-864-3426
Fax Number
910-491-6803
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
MHL026809 (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.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
MHL026809 (North Carolina)
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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