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John & Jennerine Enterprise, Inc.
Emotionally Disturbed Childrens' Residential Treatment Facility in Reidsville, North Carolina
NPI 1700051273

John & Jennerine Enterprise, Inc. is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Reidsville, NC. John & Jennerine Enterprise, Inc. practices in Reidsville, NC. The NPI Number for John & Jennerine Enterprise, Inc. is 1700051273 and holds a License No. MHL079092 (North Carolina).

The current practice location address for John & Jennerine Enterprise, Inc. is 116 Pineview Dr, Reidsville, NC and can be reached out via phone at 336-342-4033 and via fax at 336-852-6701.

Location: 116 Pineview Dr, Reidsville, NC, 27323-1583
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700051273
Provider Name
John & Jennerine Enterprise, Inc.
Credential
Provider Entity Type
Organization
Address
116 Pineview Dr, Reidsville, NC, 27323-1583
Phone Number
336-342-4033
Fax Number
336-852-6701
Provider Enumeration Date
04/25/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
116 Pineview Dr
City
Reidsville
State
North Carolina
Zip
27320-8126
Phone Number
336-342-4033
Fax Number
336-852-6701
person
Provider Business Mailing Address Details
Address
116 Pineview Dr
City
Reidsville
State
North Carolina
Zip
27320-8126
Phone Number
336-342-4033
Fax Number
336-852-6701
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
MHL079092 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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