Davie County Group Home, Inc.

LBN: Davie County Group Home, Inc.
Davie County Group Home, Inc. is an health care organization with primary practice located at 785 Sanford Ave , Mocksville NC 27028-9700. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Davie County Group Home, Inc. can be contacted via phone (336) 751-5014, or through Rosser, Judy P. via phone (336) 751-5014.

Contact Information

Primary practice address
785 Sanford Ave Mocksville NC 27028-9700
Fax: (336) 751-0036
Website:
Authorized official contact:
Name: Rosser, Judy P.

Health care specialties

Profile Details

NPI number 1194807552
LBN Legal business name Davie County Group Home, Inc.
DBA Doing business as
Authorized official Rosser, Judy P.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2006
Last updated Aug 22nd, 2020 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1194807552 NPPES
North Carolina MEDICAID 3418213
North Carolina MEDICAID 7804494
North Carolina MEDICAID 8301090

Popular Providers