Ajinnda 13 Group Living Facility
Community/Behavioral Health in Roxboro, NC. Organization (NPI-2).
NPI number1316537905
StatusActive
Last updated in NPPESJan 19, 2021
Details
- NPI
- 1316537905
- Entity type
- Organization (NPI-2)
- Legal business name
- Ajinnda 13 Group Living Facility
- Organization subpart
- No
- Enumeration date
- Jan 19, 2021
- Certification date
- Jan 19, 2021
- Last updated
- Jan 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
408 W Morehead StRoxboro, NC 27573-4937
Phone 919-906-4426
Mailing address
408 W Morehead StRoxboro, NC 27573-4937
Phone 919-906-4426
Authorized official
Ricky Paylor
Adminstrator
9199064426
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