Cedar Grove Group Homes, Inc.

NPI 1063567188 - Community Based Residential Treatment Facility, Mental Illness - 320800000X

NPI Details
NPI 1063567188
Enumeration Date 01/25/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WANDA WILLIAMS WANDA
Position DIRECTOR
Phone (919) 738-1765
Fax (919) 751-0089
Practice Location
140 COUNTRY RUN LN
GOLDSBORO NC, 27530-8901, US
Phone (919) 738-1765
Fax (919) 751-0089
Business Location
PO BOX 1343
GOLDSBORO NC, 27533-1343, US
Phone (919) 738-1765
Fax (919) 751-0089
Toxanomy
Taxonomy Code 320800000X
License State North Carolina
License Number 8300945
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According to our database, Cedar Grove Group Homes, Inc. NPI is 1063567188, taxonomy code is 320800000X and license number is 8300945, license state is located at North Carolina. Cedar Grove Group Homes, Inc. physically located at 140 Country Run Ln, Goldsboro NC, 27530-8901. NPI Number 1033115704 has the healthcare provider type.

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1063567188 NPI number is provided on an as is basis without warranty of any kind. 1063567188 is maintained by the National Plan & Provider Enumeration System. The contents of Cedar Grove Group Homes, Inc. are for informational purposes only.