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Jeans Rest Home
Developmental Disabilities Clinic/Center in Fayetteville, North Carolina
NPI 1942328695

Jeans Rest Home is a Developmental Disabilities Clinic/Center based in Fayetteville, NC and is specialized in Developmental Disabilities. Jeans Rest Home practices in Fayetteville, NC. The NPI Number for Jeans Rest Home is 1942328695 and holds a License No. FCL026029 (North Carolina).

The current practice location address for Jeans Rest Home is 114 University Ave, Fayetteville, NC and can be reached out via phone at 910-480-0020 and via fax at 910-480-0020.

Location: 114 University Ave, Fayetteville, NC, 28301-3440
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942328695
Provider Name
Jeans Rest Home
Credential
Provider Entity Type
Organization
Address
114 University Ave, Fayetteville, NC, 28301-3440
Phone Number
910-480-0020
Fax Number
910-480-0020
Provider Enumeration Date
03/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7802336 05 NC
institution
Provider Business Practice Location Address Details
Address
114 University Ave
City
Fayetteville
State
North Carolina
Zip
28301-3440
Phone Number
910-480-0020
Fax Number
910-480-0020
person
Provider Business Mailing Address Details
Address
114 University Ave
City
Fayetteville
State
North Carolina
Zip
28301-3440
Phone Number
910-480-0020
Fax Number
910-480-0020
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
FCL026029 (North Carolina)
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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