| Jane Street Group Home | |
|
2001 Jane St Greensboro NC 27407-3128 | |
| (336) 996-7556 | |
| (336) 996-7602 |
| Full Name | Jane Street Group Home |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
| Location | 2001 Jane St, Greensboro, North Carolina |
| Authorized Official Name and Position | Jennifer D Lozano (DIRECTOR) |
| Authorized Official Contact | 4043642900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jane Street Group Home 1819 Peachtree Rd Ne Ste 450 Atlanta GA 30309-1848 Ph: (404) 364-2900 | Jane Street Group Home 2001 Jane St Greensboro NC 27407-3128 Ph: (336) 996-7556 |
| NPI Number | 1326173808 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 09/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326173808 | NPI | - | NPPES |
| 7804553 | Medicaid | NC |
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