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Fisher Road Group Home
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Brevard, North Carolina
NPI 1023498979

Fisher Road Group Home is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Brevard, NC. Fisher Road Group Home practices in Brevard, NC. The NPI Number for Fisher Road Group Home is 1023498979 and holds a License No. MHL088021 (North Carolina).

The current practice location address for Fisher Road Group Home is 120 Fisher Rd, Brevard, NC and can be reached out via phone at 828-884-8853.

Location: 120 Fisher Rd, Brevard, NC, 28712-1115
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023498979
Provider Name
Fisher Road Group Home
Credential
Provider Entity Type
Organization
Address
120 Fisher Rd, Brevard, NC, 28712-1115
Phone Number
828-884-8853
Fax Number
Provider Enumeration Date
06/05/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3408915 05 NC
institution
Provider Business Practice Location Address Details
Address
120 Fisher Rd
City
Brevard
State
North Carolina
Zip
28712-3110
Phone Number
828-884-8853
Fax Number
person
Provider Business Mailing Address Details
Address
120 Fisher Rd
City
Brevard
State
North Carolina
Zip
28712-3110
Phone Number
828-884-8853
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
MHL088021 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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