John & Jennerine Enterprise, Inc.
NPI #1548319247 in Reidsville, North Carolina
Provider Information
- NPI Number
- 1548319247
- Entity Type
- Organization
- Organization Name
- John & Jennerine Enterprise, Inc.
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jan 10, 2007
- Last Updated
- Apr 25, 2011
Practice Location
- Address
- 3008 NC HIGHWAY 150
- City
- Reidsville
- State
- North Carolina
- ZIP Code
- 27320-8112
- Phone
- (336) 342-2609
Authorized Official
- Name
- MR. JOHN ROBERT WALLACE
- Title
- OWNER/EFT
- Phone
- (336) 342-2609
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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