Climbing Jacobs Ladder LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Winston Salem, NC. Organization (NPI-2).
Details
- NPI
- 1215024682
- Entity type
- Organization (NPI-2)
- Legal business name
- Climbing Jacobs Ladder LLC
- Organization subpart
- No
- Enumeration date
- Oct 6, 2006
- Last updated
- Jun 10, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
3401 Healy DrSuite-B
Winston Salem, NC 27103-1450
Phone 336-760-5516 · Fax 336-760-5517
Mailing address
7475 Princess Anne CtSuite -B
Rural, NC 27045-9821
Phone 336-760-5516 · Fax 336-760-5517
Authorized official
James Robert Paul
Director
3367605516
Is something wrong?
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