Ebenezer House

LBN: Beros Enterprise Llc
Ebenezer House is an health care organization with primary practice located at 5331 Stigall Rd , Kernersville NC 27284-7673. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Beros Enterprise Llc can be contacted via phone (336) 491-7190, or through Grizzle, Beverlie Rose via phone (336) 491-7190.

Contact Information

Primary practice address
5331 Stigall Rd Kernersville NC 27284-7673
Phone: (336) 491-7190
Fax: (336) 510-7490
Website:
Map and Directions
Authorized official contact:
Name: Grizzle, Beverlie Rose DIRECT OWNER
Phone: (336) 491-7190

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL-034-218 North Carolina

Profile Details

NPI number 1578743795
LBN Legal business name Beros Enterprise Llc
DBA Doing business as Ebenezer House
Authorized official Grizzle, Beverlie Rose DIRECT OWNER
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 5th, 2007
Last updated Aug 25th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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