NPI 1033318969

J-Lo Homes, LLC

Organisation Mental Illness Community Based Residential Treatment Facility Goldsboro, NC

Practice location

Address: 208 Randall Ln, Goldsboro, NC 27534-8837
Phone: (919) 221-6719
Fax: (919) 734-4950
Mailing address: 400 S Pineview Ave, Goldsboro, NC 27530-6039

Authorised official

Name: Dana Elaine Williams
Title: Executive Director
Phone: (919) 222-2407

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence MHL-096-200 (NC)

Other Community Based Residential Treatment Facility, Mental Illness providers in North Carolina →

Registry record

NPI: 1033318969
Entity type: Organization
NPI issued: 11 Jul 2007
Record last updated: 11 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.