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MRS JENNIE'S PLACE ADULT ACTIVITY CENTER CORP NPI 1871819151


NPI Information

NPI: 1871819151
Provider Name: MRS JENNIE'S PLACE ADULT ACTIVITY CENTER CORP

Other Name: MRS. JENNIE'S PLACE COMMUNITY ENRICHMENT CENTER

Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
506 RAVENSTONE LN
DURHAM, NC
ZIP 27703
Phone: (919) 949-6550
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MRS JENNIE'S PLACE ADULT ACTIVITY CENTER CORP is a day training developmentally disabled services in Durham, NC. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. MRS JENNIE'S PLACE ADULT ACTIVITY CENTER CORP NPI is 1871819151. The provider is registered as an organization entity type.
The provider Other Name Is Mrs. Jennie's Place Community Enrichment Center.

The provider's business location address is:

506 RAVENSTONE LN
DURHAM, NC
ZIP 27703-621
Phone: (919) 949-6550
Fax: (919) 765-5748

The provider's authorized official is Valeria Hayes Sumpter .
The authorized official title is President/ceo and has the following contact phone number (919) 949-6550.

The enumeration date for this NPI number is 4/12/2010 and was last updated on 4/12/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251C00000XDay Training, Developmentally Disabled ServicesNORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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