| Ajinnda 13 Group Living Facility | |
|
408 W Morehead St Roxboro NC 27573-4937 | |
| (919) 906-4426 | |
| Not Available |
| Full Name | Ajinnda 13 Group Living Facility |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 408 W Morehead St, Roxboro, North Carolina |
| Authorized Official Name and Position | Ricky Paylor (ADMINSTRATOR) |
| Authorized Official Contact | 9199064426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ajinnda 13 Group Living Facility 408 W Morehead St Roxboro NC 27573-4937 Ph: (919) 906-4426 | Ajinnda 13 Group Living Facility 408 W Morehead St Roxboro NC 27573-4937 Ph: (919) 906-4426 |
| NPI Number | 1316537905 |
|---|---|
| Provider Enumeration Date | 01/19/2021 |
| Last Update Date | 01/19/2021 |
| Certification Date | 01/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316537905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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