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John & Jennerine Enterprise, Inc.
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Reidsville, North Carolina
NPI 1548319247

John & Jennerine Enterprise, Inc. is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Reidsville, NC. John & Jennerine Enterprise, Inc. practices in Reidsville, NC. The NPI Number for John & Jennerine Enterprise, Inc. is 1548319247 and holds a License No. MHL-079-058 (North Carolina).

The current practice location address for John & Jennerine Enterprise, Inc. is 3008 Nc Highway 150, Reidsville, NC and can be reached out via phone at 336-342-2609 and via fax at 336-342-6362.

Location: 3008 Nc Highway 150, Reidsville, NC, 27323-1583
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548319247
Provider Name
John & Jennerine Enterprise, Inc.
Credential
Provider Entity Type
Organization
Address
3008 Nc Highway 150, Reidsville, NC, 27323-1583
Phone Number
336-342-2609
Fax Number
336-342-6362
Provider Enumeration Date
01/10/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3008 Nc Highway 150
City
Reidsville
State
North Carolina
Zip
27320-8112
Phone Number
336-342-2609
Fax Number
336-342-6362
person
Provider Business Mailing Address Details
Address
3008 Nc Highway 150
City
Reidsville
State
North Carolina
Zip
27320-8112
Phone Number
336-342-2609
Fax Number
336-342-6362
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
MHL-079-058 (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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