Union Avenue Group Home, Llc

NPI 1316173057 - Community Based Residential Treatment Facility, Mental Illness - 320800000X

NPI Details
NPI 1316173057
Enumeration Date 06/09/2009
Last Updated 06/09/2009
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name MICHAEL MICHAEL
Position DIRETOR
Phone (336) 404-2003
Fax (336) 226-5097
Practice Location
210 UNION AVE
BURLINGTON NC, 27217-2442, US
Phone (336) 404-2003
Fax (336) 226-5097
Business Location
PO BOX 1108
GREENSBORO NC, 27402-1108, US
Phone (336) 404-2003
Fax (336) 226-5097
Toxanomy
Taxonomy Code 320800000X
License State North Carolina
License Number MHL-001-174
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According to our database, Union Avenue Group Home, Llc NPI is 1316173057, taxonomy code is 320800000X and license number is MHL-001-174, license state is located at North Carolina. Union Avenue Group Home, Llc physically located at 210 Union Ave, Burlington NC, 27217-2442. NPI Number 1033115704 has the healthcare provider type.

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1316173057 NPI number is provided on an as is basis without warranty of any kind. 1316173057 is maintained by the National Plan & Provider Enumeration System. The contents of Union Avenue Group Home, Llc are for informational purposes only.