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General NPI Number Information
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NPI Number | 1730023367
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Entity Type | Organization
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Legal Business Name | JOMKO HAUS, LLC
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 601 EASTERN AVE
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City | ROCKY MOUNT
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State | NC
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Zip | 27801-5856
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Country | US
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Telephone | 252-231-1273
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Fax | 252-231-1273
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Provider Business Mailing Address
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Address Line | 601 EASTERN AVE
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City | ROCKY MOUNT
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State | NC
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Zip | 27801-5856
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Country | US
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Telephone | 252-231-1273
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Fax | 252-231-1273
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Authorized Official
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Title or Position | CEO
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Name | JOSEPH OJI
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Credential |
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Telephone | 919-801-0428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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