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MARY L MCCULLERS-JACKSON
NPI 1912021486
Community Based Residential Treatment Facility, Mental Illness in Zebulon, NC

Active since March 19, 2007
501 BUNN ST, ZEBULON, NC 27597(919) 269-3060(919) 266-7901 Get Directions Write a Review

NPPES record last updated: June 26, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mary L Mccullers-jackson NPPES

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

MARY L MCCULLERS-JACKSON (NPI 1912021486) is a healthcare organization registered as a community based residential treatment facility, mental illness in Zebulon, North Carolina and active in the NPI registry since March 2007. The organization lists Mary Lilly Mccullers Jackson, Owner Administrator, as its authorized official.

NPPES Registry Identity

NPI1912021486
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameMARY L MCCULLERS-JACKSON
Location Address501 BUNN STZebulon, NC 27597-9177
Mailing Address5641 Quail Covey LaneWendell, NC 27591-7901 · (919) 266-5291 · Fax (919) 266-7901
Phone(919) 269-3060
Fax(919) 266-7901
Organization SubpartNo
Authorized OfficialMary Lilly Mccullers JacksonOwner Administrator · (919) 266-5291
Enumeration DateMarch 19, 2007
Last NPPES UpdateJune 26, 2008
✔ NPI 1912021486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in NC · MHL 092 516
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X · License MHL092516 (NC)
501 BUNN ST, Zebulon, NC 27597
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Other Providers at the Same Location NPPES 3

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

MS. MARY L. MCCULLERS
Community Based Residential Treatment Facility, Mental Illness
501 BUNN ST
ZEBULON, NC 27597
Wake County (919) 796-5780
MARY MANOR II
Community Based Residential Treatment Facility, Mental Illness
501 BUNN ST
ZEBULON, NC 27597
Wake County (919) 269-3060
MARY MANOR II
Community Based Residential Treatment Facility, Mental Illness
501 BUNN ST
ZEBULON, NC 27597
Wake County (919) 269-3060

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 Mary L Mccullers-Jackson's NPI number?

The NPI number for Mary L Mccullers-Jackson is 1912021486. It was assigned to this organization in the NPPES registry on March 19, 2007.

Where is Mary L Mccullers-Jackson located?

Mary L Mccullers-Jackson is located at 501 Bunn St, Zebulon, NC 27597. The listed phone number is (919) 269-3060.

What is Mary L Mccullers-Jackson's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Mary L Mccullers-Jackson was last updated on June 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.