G & D Residential Services, Llc

NPI 1003012758 - Community Based Residential Treatment Facility, Mental Illness - 320800000X

NPI Details
NPI 1003012758
Enumeration Date 06/21/2007
Last Updated 06/01/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GEOVON KENANE GEOVON
Position CEO DIRECTOR
Phone (336) 254-6770
Fax (336) 292-1589
Practice Location
620 GUILFORD COLLEGE RD STE G
GREENSBORO NC, 27409-2027, US
Phone (336) 254-6770
Fax (336) 292-1589
Business Location
620 GUILFORD COLLEGE RD STE G
GREENSBORO NC, 27409-2027, US
Phone (336) 254-6770
Fax (336) 292-1589
Toxanomy
Taxonomy Code 320800000X
License State North Carolina
License Number MHL-041-764
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According to our database, G & D Residential Services, Llc NPI is 1003012758, taxonomy code is 320800000X and license number is MHL-041-764, license state is located at North Carolina. G & D Residential Services, Llc physically located at 620 Guilford College Rd Ste G, Greensboro NC, 27409-2027. NPI Number 1033115704 has the healthcare provider type.

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1003012758 NPI number is provided on an as is basis without warranty of any kind. 1003012758 is maintained by the National Plan & Provider Enumeration System. The contents of G & D Residential Services, Llc are for informational purposes only.