Mary L Mccullers-Jackson

LBN: Mary L Mccullers-Jackson
Mary L Mccullers-Jackson is an health care organization with primary practice located at 501 Bunn St , Zebulon NC 27597-9177. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Adult Care Home, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Mary L Mccullers-Jackson can be contacted via phone (919) 269-3060, or through Mccullers Jackson, Mary Lilly via phone (919) 266-5291.

Contact Information

Primary practice address
501 Bunn St Zebulon NC 27597-9177
Fax: (919) 266-7901
Website:
Authorized official contact:
Name: Mccullers Jackson, Mary Lilly

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X MHL092516 North Carolina
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X MHL 092 516 North Carolina

Profile Details

NPI number 1912021486
LBN Legal business name Mary L Mccullers-Jackson
DBA Doing business as
Authorized official Mccullers Jackson, Mary Lilly
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2007
Last updated Jun 26th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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