MRS. JENNIE'S PLACE COMMUNITY ENRICHMENT CENTER NPI 1265601223

NPI Information

  • NPI: 1265601223
  • Provider Name: MRS. JENNIE'S PLACE COMMUNITY ENRICHMENT CENTER
  • Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
  • Entity Type: Organization
  • Address: 804 COX AVE
    DURHAM, NC
    ZIP 27701
  • Phone: (919) 765-5748

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NPI Details

MRS. JENNIE'S PLACE COMMUNITY ENRICHMENT CENTER is a residential treatment facility, intellectual and/or developmental disabilities in Durham, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. MRS. JENNIE'S PLACE COMMUNITY ENRICHMENT CENTER NPI is 1265601223. The provider is registered as an organization entity type.

The provider's business location address is:

804 COX AVE
DURHAM, NC
ZIP 27701-519
Phone: (919) 765-5748

The provider's authorized official is Valeria H Sumpter .
The authorized official title is Ceo/president and has the following contact phone number (919) 765-5748.

The enumeration date for this NPI number is 2/25/2008 and was last updated on 2/25/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL-032-425NORTH CAROLINAYes

What is NPI?

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This page was last updated on: 3/30/2025

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