1912021486 MARY L MCCULLERS-JACKSON
Mental Illness Community Based Residential Treatment Facility
Reactivated
Basic Information
- Organization Name
- MARY L MCCULLERS-JACKSON
- Enumeration Date
- March 19, 2007
- Last Update
- June 26, 2008
- Deactivation Date
- June 3, 2008
- Reactivation Date
- June 19, 2008
- Authorized Official
- MS. MARY LILLY MCCULLERS JACKSON
OWNER ADMINISTRATOR
Phone: (919) 266-5291
Practice Location
- Address
- 501 BUNN ST
ZEBULON, NC 275979177 - Phone
- (919) 269-3060
- Fax
- (919) 266-7901
Mailing Address
- Address
- 5641 QUAIL COVEY LANE
WENDELL, NC 275917901 - Phone
- (919) 266-5291
- Fax
- (919) 266-7901
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Adult Care Home Facility Adult Care Home | 311ZA0620X | Custodial Care Facility | MHL092516 | NC | No |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Community Based Residential Treatment Facility, Mental Illness | MHL 092 516 | NC | Primary |
Frequently Asked Questions
What is MARY L MCCULLERS-JACKSON's NPI number?
MARY L MCCULLERS-JACKSON's NPI number is 1912021486.
Which doctor has NPI number 1912021486?
The doctor with NPI number 1912021486 is MARY L MCCULLERS-JACKSON.
What is MARY L MCCULLERS-JACKSON's practice address?
MARY L MCCULLERS-JACKSON's practice address is 501 BUNN ST, ZEBULON, NC, 275979177.
Which doctor practices at 501 BUNN ST, ZEBULON, NC, 275979177?
MARY L MCCULLERS-JACKSON practices at 501 BUNN ST, ZEBULON, NC, 275979177.
What is MARY L MCCULLERS-JACKSON's mailing address?
MARY L MCCULLERS-JACKSON's mailing address is 5641 QUAIL COVEY LANE, WENDELL, NC, 275917901.
What is MARY L MCCULLERS-JACKSON's phone number?
MARY L MCCULLERS-JACKSON's phone number is (919) 269-3060.
Who is (919) 269-3060?
(919) 269-3060 is the phone number for MARY L MCCULLERS-JACKSON.
What is MARY L MCCULLERS-JACKSON's specialty?
MARY L MCCULLERS-JACKSON's specialty is Mental Illness Community Based Residential Treatment Facility.
What type of doctor is MARY L MCCULLERS-JACKSON?
MARY L MCCULLERS-JACKSON is a Mental Illness Community Based Residential Treatment Facility.
Is MARY L MCCULLERS-JACKSON a Community Based Residential Treatment Facility, Mental Illness?
Yes, MARY L MCCULLERS-JACKSON is a Community Based Residential Treatment Facility, Mental Illness.
Is MARY L MCCULLERS-JACKSON still practicing?
Yes, MARY L MCCULLERS-JACKSON has reactivated their practice and is currently practicing.
Is MARY L MCCULLERS-JACKSON accepting new patients?
MARY L MCCULLERS-JACKSON may be accepting new patients. Please call their office at (919) 269-3060 to inquire about availability.
Is NPI 1912021486 still active?
Yes, NPI 1912021486 has been reactivated and is currently active.
Where does MARY L MCCULLERS-JACKSON practice?
MARY L MCCULLERS-JACKSON practices in ZEBULON, NC.