Universal Group Home

NPI 1447431689 - Custodial Care Facility - 311ZA0620X

NPI Details
NPI 1447431689
Enumeration Date 11/15/2007
Last Updated 11/15/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BARBARA JEAN BARBARA
Position OWNER
Phone (919) 922-4366
Fax
Practice Location
2030 AZALEA DR
GOLDSBORO NC, 27530-1208, US
Phone (919) 922-4366
Fax
Business Location
2030 AZALEA DR
GOLDSBORO NC, 27530-1208, US
Phone (919) 922-4366
Fax
Toxanomy
Taxonomy Code 311ZA0620X
License State North Carolina
License Number MHL096197
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According to our database, Universal Group Home NPI is 1447431689, taxonomy code is 311ZA0620X and license number is MHL096197, license state is located at North Carolina. Universal Group Home physically located at 2030 Azalea Dr, Goldsboro NC, 27530-1208. NPI Number 1033115704 has the healthcare provider type.

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1447431689 NPI number is provided on an as is basis without warranty of any kind. 1447431689 is maintained by the National Plan & Provider Enumeration System. The contents of Universal Group Home are for informational purposes only.