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WILLA DEAN MCNEILL NPI 1326291246


NPI Information

NPI: 1326291246
Provider Name: WILLA DEAN MCNEILL

Doing Business As: JOYFUL LIVING

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
1951 IRELAND DR
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 527-9045
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WILLA DEAN MCNEILL is a residential treatment facility, intellectual and/or developmental disabilities in Fayetteville, 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. WILLA DEAN MCNEILL NPI is 1326291246. The provider is registered as an organization entity type.
The provider Is Doing Business As Joyful Living.

The provider's business location address is:

1951 IRELAND DR
FAYETTEVILLE, NC
ZIP 28304-504
Phone: (910) 527-9045
Fax: (910) 864-8007

The provider's authorized official is Willa Dean Mcneill .
The authorized official title is Owner and has the following contact phone number (191) 052-7904.

The enumeration date for this NPI number is 10/23/2008 and was last updated on 4/8/2024.


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
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL026855NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17806101MEDICAIDNORTH CAROLINA

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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