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Sammons Group Home
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Raleigh, North Carolina
NPI 1023273505

Sammons Group Home is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Raleigh, NC. Sammons Group Home practices in Raleigh, NC. The NPI Number for Sammons Group Home is 1023273505 and holds a License No. MHL-092-470 (North Carolina).

The current practice location address for Sammons Group Home is 3129 Tarheel Clubhouse Rd, Raleigh, NC and can be reached out via phone at 919-217-0112 and via fax at 919-217-3962.

Location: 3129 Tarheel Clubhouse Rd, Raleigh, NC, 27604-9675
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023273505
Provider Name
Sammons Group Home
Credential
Provider Entity Type
Organization
Address
3129 Tarheel Clubhouse Rd, Raleigh, NC, 27604-9675
Phone Number
919-217-0112
Fax Number
919-217-3962
Provider Enumeration Date
07/23/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
7804437 05 NC
institution
Provider Business Practice Location Address Details
Address
3129 Tarheel Clubhouse Rd
City
Raleigh
State
North Carolina
Zip
27604-9675
Phone Number
919-217-0112
Fax Number
919-217-3962
person
Provider Business Mailing Address Details
Address
3129 Tarheel Clubhouse Rd
City
Raleigh
State
North Carolina
Zip
27604-9675
Phone Number
919-217-0112
Fax Number
919-217-3962
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
MHL-092-470 (North Carolina)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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