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Sedalia Center #2
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Gibsonville, North Carolina
NPI 1063624641

Sedalia Center #2 is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Gibsonville, NC. Sedalia Center #2 practices in Gibsonville, NC. The NPI Number for Sedalia Center #2 is 1063624641 and holds a License No. FCL-041-070 (North Carolina).

The current practice location address for Sedalia Center #2 is 6143 Blue Lantern Rd, Gibsonville, NC and can be reached out via phone at 336-275-7328 and via fax at 336-272-6359.

Location: 6143 Blue Lantern Rd, Gibsonville, NC, 27249-8737
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063624641
Provider Name
Sedalia Center #2
Credential
Provider Entity Type
Organization
Address
6143 Blue Lantern Rd, Gibsonville, NC, 27249-8737
Phone Number
336-275-7328
Fax Number
336-272-6359
Provider Enumeration Date
05/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FCL-041-070 05 NC
institution
Provider Business Practice Location Address Details
Address
6143 Blue Lantern Rd
City
Gibsonville
State
North Carolina
Zip
27249-8737
Phone Number
336-275-7328
Fax Number
336-272-6359
person
Provider Business Mailing Address Details
Address
6143 Blue Lantern Rd
City
Gibsonville
State
North Carolina
Zip
27249-8737
Phone Number
336-275-7328
Fax Number
336-272-6359
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
FCL-041-070 (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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