Novella's Place, Inc.

NPI 1477737112 - Custodial Care Facility - 311ZA0620X

NPI Details
NPI 1477737112
Enumeration Date 12/17/2007
Last Updated 01/12/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name JESSE JAMES JESSE
Position FINANCIAL ADMINISTRATION
Phone (919) 266-0146
Fax (919) 266-0146
Practice Location
2128 OLD MILBURNIE RD
RALEIGH NC, 27604-9642, US
Phone (919) 266-0146
Fax (919) 266-0146
Business Location
1307 E MILLBROOK RD
SUITE C-15
RALEIGH NC, 27609-5476, US
Phone (919) 427-1402
Fax (919) 828-1624
Toxanomy
Taxonomy Code 311ZA0620X
License State North Carolina
License Number MHL-032-418
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According to our database, Novella's Place, Inc. NPI is 1477737112, taxonomy code is 311ZA0620X and license number is MHL-032-418, license state is located at North Carolina. Novella's Place, Inc. physically located at 2128 Old Milburnie Rd, Raleigh NC, 27604-9642. NPI Number 1033115704 has the healthcare provider type.

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1477737112 NPI number is provided on an as is basis without warranty of any kind. 1477737112 is maintained by the National Plan & Provider Enumeration System. The contents of Novella's Place, Inc. are for informational purposes only.