Wolfe & Jackson Group Home, Inc.
LBN: Wolfe & Jackson Group Home, Inc.
Wolfe & Jackson Group Home, Inc. is an health care organization with primary practice located at 3913 Indiana Ave , Winston Salem NC 27105-3410. The organization recently has 2 registered licenses in different health care specialties including Agencies / In Home Supportive Care, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty.
Wolfe & Jackson Group Home, Inc. can be contacted via phone (336) 661-0923, or through Wolfe, Zelma Jackson- via phone (336) 749-7660.
Contact Information
Primary practice address
3913 Indiana Ave
Winston Salem NC 27105-3410
Phone: (336) 661-0923
Fax: (336) 793-1496
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / In Home Supportive Care | 253Z00000X | ||
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | MHL 034-254 | North Carolina |
Profile Details
| NPI number | 1265758916 |
|---|---|
| LBN Legal business name | Wolfe & Jackson Group Home, Inc. |
| DBA Doing business as | |
| Authorized official | Wolfe, Zelma Jackson- |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 20th, 2010 |
| Last updated | Jul 25th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265758916 | NPPES |
| North Carolina | MEDICAID | 3419271 |
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