Healthcare Provider Details

I. General information

NPI: 1407762297
Provider Name (Legal Business Name): THE GEORGE LEE JONES FOUNDATION HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4904 MCNAIR RD
TARBORO NC
27886-8740
US

IV. Provider business mailing address

107 SE MAIN ST STE 311
ROCKY MOUNT NC
27801-5400
US

V. Phone/Fax

Practice location:
  • Phone: 252-883-0296
  • Fax: 252-203-5240
Mailing address:
  • Phone: 252-618-7722
  • Fax: 252-203-5240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: SHEREECE APRIL JONES
Title or Position: FOUNDER
Credential:
Phone: 252-883-0296