| NPI | 1962275511 |
|---|---|
| Former Legal Business Name | JORDAN HGH |
| Entity Type | Organization |
| Authorized Contact | MELISSA ROBERTA JORDAN CEO 919-914-1287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2023-11-06 |