| Jackson Family Care Home Ii | |
|
7112 Outrigger Dr Wendell NC 27591-7240 | |
| (919) 366-1513 | |
| (919) 366-1513 |
| Full Name | Jackson Family Care Home Ii |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 7112 Outrigger Dr, Wendell, North Carolina |
| Authorized Official Name and Position | Mary Mccullers Jackson (OWNER/ADMINISTRATOR) |
| Authorized Official Contact | 9192665291 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Family Care Home Ii 5641 Quail Covey Ln Wendell NC 27591-7901 Ph: (919) 266-5291 | Jackson Family Care Home Ii 7112 Outrigger Dr Wendell NC 27591-7240 Ph: (919) 366-1513 |
| NPI Number | 1588808240 |
|---|---|
| Provider Enumeration Date | 04/26/2009 |
| Last Update Date | 04/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588808240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | FCL092148 (North Carolina) | Primary |
Vinson Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 167 Whistling Duck Way, Wendell, NC 27591 Phone: 919-599-5919 Fax: 919-374-7043 | |
Journeys In Mental Health & Wellness, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3134 Wendell Blvd, Wendell, NC 27591 Phone: 760-267-5232 | |
Monarch Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1245 Hawks Perch Way, Wendell, NC 27591 Phone: 704-986-1500 Fax: 704-986-5605 | |
Crandell's Enterprises Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7112 Outrigger Dr, Wendell, NC 27591 Phone: 919-626-0079 | |
Mary Manor Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 228 Gail Ridge Ln, Wendell, NC 27591 Phone: 919-796-5780 Fax: 919-266-7901 | |
Q1 Clinical Consultants, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Cornflower Dr, Wendell, NC 27591 Phone: 919-303-5377 Fax: 919-303-5377 |