NPI 1669023354
Jordan House Fondation
Practice location
- Address
- 3139 Metthame Dr, Fayetteville, NC 28306-7518
- Phone
- (716) 449-8090
Authorised official
- Name
- Bobby Williams
- Title
- Administrator
- Phone
- (716) 449-8090
Registered specialties
Taxi
Primary
Registry record
- NPI
- 1669023354
- Entity type
- Organization
- NPI issued
- 24 Sep 2019
- Record last updated
- 24 Sep 2019
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.