Doctor Name: | BOBBY DANTE' JUDD |
NPI Number: | 1356751085 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | FCL092189 |
Business Practice Address: | 221 E Barbee St Zebulon, NC - 275972811 |
Business Phone Number: | 9194040628 |
Business Fax Number: | |
Mailing Address: | 221 E Barbee St, ZEBULON |
State: | NC |
Postal Code: | 275972811 |
Phone Number: | 9194040628 |
Fax Number: | |
NPI Enumeration Date: | 05/02/2014 |
NPI Last Update Date: | 05/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 311ZA0620X |
License Number: | FCL092189 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Custodial Care Facility |
Taxonomy Specialization: | Adult Care Home |
Taxonomy Definition: | A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |