Aj'S Group Home in Fayetteville - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Aj'S Group Home - NPI 1548309511
Aj'S Group Home is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Fayetteville, North Carolina. Aj'S Group Home practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Aj'S Group Home is 1548309511. The last update date is 2020-08-22.
Aj'S Group Home's current location address is Po Box 1692, Fayetteville, North Carolina. You can contact this provider via phone number 9106302374 and fax number 9107640404. The mailing address for Aj'S Group Home is Po Box 1692, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Aj'S Group Home |
|---|---|
| Address | Po Box 1692, Fayetteville, North Carolina |
| Phone Number | 9106302374 |
| Fax Number | 9107640404 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Williams Annie |
| Telephone Number | 9106302374 |
NPI Number Detail
| NPI Number | 1548309511 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 1692 |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 283021692 |
| Phone Number | 9106302374 |
| Fax Number | 9107640404 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
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What is the unique identifier code issued to Aj'S Group Home by the Centers for Medicare & Medicaid Services (CMS)?
The Aj'S Group Home has been assigned the NPI (National Provider Identifier) 1548309511. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Aj'S Group Home located?
The Aj'S Group Home is located at Po Box 1692, Fayetteville, NC 283021692.
What is Aj'S Group Home's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Aj'S Group Home is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that classifies this field of practice is 320900000X.
On what date did the Aj'S Group Home receive its 1548309511 assignment from the Centers for Medicare & Medicaid Services?
The Aj'S Group Home was assigned its 1548309511 by the Centers for Medicare & Medicaid Services on 2007-02-06.
When was the information regarding Aj'S Group Home most recently updated?
The details pertaining to the Aj'S Group Home, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.