Provider Demographics
NPI:1518779644
Name:GI JANE & ASSOCIATES, INC.
Entity type:Organization
Organization Name:GI JANE & ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:IDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORTON
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:919-633-5263
Mailing Address - Street 1:555 FAYETTEVILLE ST
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27601-3030
Mailing Address - Country:US
Mailing Address - Phone:919-633-5263
Mailing Address - Fax:
Practice Address - Street 1:5200 GREENS DAIRY RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-4612
Practice Address - Country:US
Practice Address - Phone:919-633-5263
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GI JANE & ASSOCIATES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care