Special Jewel Group Home

LBN: Special Jewel Group Home
Special Jewel Group Home is an health care organization with primary practice located at 200 S Tillery St , Rocky Mount NC 27804-5527. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Special Jewel Group Home can be contacted via phone (252) 446-6612, or through Clark, Alice via phone (252) 446-6612.

Contact Information

Primary practice address
200 S Tillery St Rocky Mount NC 27804-5527
Phone: (252) 446-6612
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clark, Alice
Phone: (252) 446-6612

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X MHL064102 North Carolina

Profile Details

NPI number 1730319773
LBN Legal business name Special Jewel Group Home
DBA Doing business as
Authorized official Clark, Alice
Entity Organization
Organization subpart 1 No
Enumeration date Jul 24th, 2009
Last updated Jul 24th, 2009 - about 15 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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