Heavenlygates, Inc.

NPI 1013152578 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1013152578
Enumeration Date 12/11/2008
Last Updated 12/11/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TARSHA VIOLET TARSHA
Position DIRECTOR
Phone (336) 617-3036
Fax (336) 617-3036
Practice Location
1407 DUNBAR ST
GREENSBORO NC, 27401-3801, US
Phone (336) 617-3036
Fax (336) 617-3036
Business Location
1407 DUNBAR ST
GREENSBORO NC, 27401-3801, US
Phone (336) 617-3036
Fax (336) 617-3036
Toxanomy
Taxonomy Code 320900000X
License State North Carolina
License Number MHL-041-882
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According to our database, Heavenlygates, Inc. NPI is 1013152578, taxonomy code is 320900000X and license number is MHL-041-882, license state is located at North Carolina. Heavenlygates, Inc. physically located at 1407 Dunbar St, Greensboro NC, 27401-3801. NPI Number 1033115704 has the healthcare provider type.

1013152578 NPI number is provided on an as is basis without warranty of any kind. 1013152578 is maintained by the National Plan & Provider Enumeration System. The contents of Heavenlygates, Inc. are for informational purposes only.