Walkers Group Home

NPI 1013192178 - Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X

NPI Details
NPI 1013192178
Enumeration Date 01/07/2008
Last Updated 01/07/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name MICHAEL MICHAEL
Position OWNER
Phone (252) 432-6308
Fax
Practice Location
1106 13TH ST NW
CONOVER NC, 28613-2319, US
Phone (252) 432-6308
Fax
Business Location
5719 KINGLET LN
CHARLOTTE NC, 28269-7113, US
Phone
Fax
Toxanomy
Taxonomy Code 322D00000X
License State North Carolina
License Number MHL-018-082
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According to our database, Walkers Group Home NPI is 1013192178, taxonomy code is 322D00000X and license number is MHL-018-082, license state is located at North Carolina. Walkers Group Home physically located at 1106 13th St Nw, Conover NC, 28613-2319. NPI Number 1033115704 has the healthcare provider type.

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1013192178 NPI number is provided on an as is basis without warranty of any kind. 1013192178 is maintained by the National Plan & Provider Enumeration System. The contents of Walkers Group Home are for informational purposes only.