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
Phone: (336) 751-5014
Fax: (336) 751-0036
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | MHL-030-021 | North Carolina |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194807552 | NPPES |
North Carolina | MEDICAID | 3418213 | |
North Carolina | MEDICAID | 7804494 | |
North Carolina | MEDICAID | 8301090 |
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