1891819389 MARYS MAJOR III

Mental Illness Community Based Residential Treatment Facility

Reactivated

Basic Information

Organization Name
MARYS MAJOR III
Enumeration Date
March 19, 2007
Last Update
July 9, 2008
Deactivation Date
June 4, 2008
Reactivation Date
July 9, 2008
Authorized Official
MS. MARY LILLY MCCULLERS-JACKSON
OWNER ADMINISTRATOR
Phone: (919) 266-5291

Practice Location

Address
4208 LABRADOR DRIVE
RALEIGH, NC 276169746
Phone
(919) 261-0572
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 MHL 092 351 NC No
Mental Illness Community Based Residential Treatment Facility
320800000X Community Based Residential Treatment Facility, Mental Illness MHL 092 351 NC Primary

Frequently Asked Questions

What is MARYS MAJOR III's NPI number?
MARYS MAJOR III's NPI number is 1891819389.
Which doctor has NPI number 1891819389?
The doctor with NPI number 1891819389 is MARYS MAJOR III.
What is MARYS MAJOR III's practice address?
MARYS MAJOR III's practice address is 4208 LABRADOR DRIVE, RALEIGH, NC, 276169746.
Which doctor practices at 4208 LABRADOR DRIVE, RALEIGH, NC, 276169746?
MARYS MAJOR III practices at 4208 LABRADOR DRIVE, RALEIGH, NC, 276169746.
What is MARYS MAJOR III's mailing address?
MARYS MAJOR III's mailing address is 5641 QUAIL COVEY LANE, WENDELL, NC, 275917901.
What is MARYS MAJOR III's phone number?
MARYS MAJOR III's phone number is (919) 261-0572.
Who is (919) 261-0572?
(919) 261-0572 is the phone number for MARYS MAJOR III.
What is MARYS MAJOR III's specialty?
MARYS MAJOR III's specialty is Mental Illness Community Based Residential Treatment Facility.
What type of doctor is MARYS MAJOR III?
MARYS MAJOR III is a Mental Illness Community Based Residential Treatment Facility.
Is MARYS MAJOR III a Community Based Residential Treatment Facility, Mental Illness?
Yes, MARYS MAJOR III is a Community Based Residential Treatment Facility, Mental Illness.
Is MARYS MAJOR III still practicing?
Yes, MARYS MAJOR III has reactivated their practice and is currently practicing.
Is MARYS MAJOR III accepting new patients?
MARYS MAJOR III may be accepting new patients. Please call their office at (919) 261-0572 to inquire about availability.
Is NPI 1891819389 still active?
Yes, NPI 1891819389 has been reactivated and is currently active.
Where does MARYS MAJOR III practice?
MARYS MAJOR III practices in RALEIGH, NC.