Jactom Inc in Fayetteville - Skilled Nursing Facility
Jactom Inc - NPI 1992724157
Jactom Inc is a Skilled Nursing Facility in Fayetteville, North Carolina. Jactom Inc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Jactom Inc is 1992724157. The last update date is 2023-06-30.
Jactom Inc's current location address is 3532 Dunn Road, Fayetteville, North Carolina. You can contact this provider via phone number 9103233223 and fax number 9103230177. The mailing address for Jactom Inc is 3532 Dunn Road, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jactom Inc |
|---|---|
| Address | 3532 Dunn Road, Fayetteville, North Carolina |
| Phone Number | 9103233223 |
| Fax Number | 9103230177 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Horne B Caroline |
| Telephone Number | 9103233223 |
NPI Number Detail
| NPI Number | 1992724157 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2023-06-30 |
Provider Mailing Address Detail
| Address | 3532 Dunn Road |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 283128894 |
| Phone Number | 9103233223 |
| Fax Number | 9103230177 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | NH0254 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3405212 | NC | -- | |
| 956 | NC | BCBS |
Post Comment/ Review Below
What is the Jactom Inc's unique identification number?
The Jactom Inc has been assigned the NPI (National Provider Identifier) Number 1992724157 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Jactom Inc's physical address?
The Jactom Inc is physically located at 3532 Dunn Road, in the city of Fayetteville, NC, with the postal code 283128894.
What is Jactom Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jactom Inc is Skilled Nursing Facility, and the taxonomy classification code that categorizes this area of expertise is 314000000X.
On what date did the Jactom Inc receive its 1992724157 assignment from the Centers for Medicare & Medicaid Services?
The Jactom Inc was assigned its 1992724157 by the Centers for Medicare & Medicaid Services on 2006-07-19.
When was the Jactom Inc's information last updated?
The Jactom Inc's information was last updated on 2023-06-30.