L&M Group Home Inc

LBN: L&M Group Home Inc
L&M Group Home Inc is an health care organization with primary practice located at 936 Waterless St , Fayetteville NC 28306-1606. 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. L&M Group Home Inc can be contacted via phone (910) 484-7075, or through Melvin, Shelton Leon via phone (910) 425-7391.

Contact Information

Primary practice address
936 Waterless St Fayetteville NC 28306-1606
Phone: (910) 484-7075
Fax: (910) 484-1704
Website:
Map and Directions
Authorized official contact:
Name: Melvin, Shelton Leon Bachelor of Arts (BA)
Phone: (910) 425-7391

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL-026-748 North Carolina

Profile Details

NPI number 1104968932
LBN Legal business name L&M Group Home Inc
DBA Doing business as
Authorized official Melvin, Shelton Leon Bachelor of Arts (BA)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104968932 NPPES
North Carolina MEDICAID 6603435

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