| NPI | 1932215886 |
|---|---|
| Former Legal Business Name | J. L. REDFORD, INC. |
| Entity Type | Organization |
| Authorized Contact | GLORIA R. FAULKNER Owner/Administrator 336-972-0531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC 4537) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2015-10-06 |