person
Mrs. Jacqueline Mcmillian
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Fayetteville, North Carolina
NPI 1477676500

Jacqueline Mcmillian is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Fayetteville, NC. Jacqueline Mcmillian practices in Fayetteville, NC. The NPI Number for Jacqueline Mcmillian is 1477676500 and holds a License No. 7805049 (North Carolina).

The current practice location address for Jacqueline Mcmillian is 5302 Slater Ave., Fayetteville, NC and can be reached out via phone at 910-488-6130.

Location: 5302 Slater Ave., Fayetteville, NC, 28314-5018
person
Provider Profile Details
NPI Number
1477676500
Provider Name
Jacqueline Mcmillian
Credential
Provider Entity Type
Individual
Gender
Female
Address
5302 Slater Ave., Fayetteville, NC, 28314-5018
Phone Number
910-488-6130
Fax Number
Provider Enumeration Date
04/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5302 Slater Ave.
City
State
Zip
28301
Phone Number
910-488-6130
Fax Number
person
Provider Business Mailing Address Details
Address
5302 Slater Ave.
City
State
Zip
28301
Phone Number
910-488-6130
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.
7805049 (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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