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Ms. Dian Jones
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Louisburg, North Carolina
NPI 1891811626

Dian Jones is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Louisburg, NC. Dian Jones practices in Louisburg, NC. The NPI Number for Dian Jones is 1891811626 and holds a License No. MHL035017 (North Carolina).

The current practice location address for Dian Jones is 1084 Fuller Rd, Louisburg, NC and can be reached out via phone at 919-496-2958.

Location: 1084 Fuller Rd, Louisburg, NC, 27549-7709
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891811626
Provider Name
Dian Jones
Credential
Provider Entity Type
Individual
Gender
Female
Address
1084 Fuller Rd, Louisburg, NC, 27549-7709
Phone Number
919-496-2958
Fax Number
Provider Enumeration Date
03/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7803501 05 NC
institution
Provider Business Practice Location Address Details
Address
1084 Fuller Rd
City
Louisburg
State
North Carolina
Zip
27549-7709
Phone Number
919-496-2958
Fax Number
person
Provider Business Mailing Address Details
Address
1084 Fuller Rd
City
Louisburg
State
North Carolina
Zip
27549-7709
Phone Number
919-496-2958
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
MHL035017 (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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