KILEY DONITA DAUGHTRY N/A
NPI 1154048999
Assisted Living Facility in Jacksonville, NC

Active since October 24, 2022
703 JIM BLAKE RD, JACKSONVILLE, NC 28540(910) 967-0374(910) 469-1275 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2024, Oct 24, 2022 (2 updates tracked since 2022).

About Kiley Donita Daughtry N/a NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KILEY DONITA DAUGHTRY N/A (NPI 1154048999) is an individual assisted living facility provider in Jacksonville, North Carolina and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1154048999
Entity TypeIndividualFemale
Primary Taxonomy310400000X
Provider Legal NameKILEY DONITA DAUGHTRYCredential: N/A
Location Address703 JIM BLAKE RDJacksonville, NC 28540-7705
Mailing Address703 Jim Blake RdJacksonville, NC 28540-7705 · (910) 967-0374 · Fax (910) 469-1275
Fax(910) 469-1275
Sole ProprietorYes
Enumeration DateOctober 24, 2022
Last NPPES UpdateOctober 10, 20242 updates tracked since enumeration
NPPES CertifiedOctober 10, 2024
NPI 1154048999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
703 JIM BLAKE RD, Jacksonville, NC 28540

Other Names 1

Professional Name (2)Kiley Donita Daughtry

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Respite Care
703 JIM BLAKE RD
JACKSONVILLE, NC 28540

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kiley Daughtry's NPI number?

The NPI number for Kiley Daughtry is 1154048999. It was assigned to this individual provider in the NPPES registry on October 24, 2022. The provider is also known as Kiley Donita Daughtry.

Where is Kiley Daughtry located?

Kiley Daughtry practices at 703 Jim Blake Rd, Jacksonville, NC 28540. The listed phone number is (910) 967-0374.

What is Kiley Daughtry's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Kiley Daughtry was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.