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Open Door Group Home#, Incorporated
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Kings Mountain, North Carolina
NPI 1184803686

Open Door Group Home#, Incorporated is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Kings Mountain, NC. Open Door Group Home#, Incorporated practices in Kings Mountain, NC. The NPI Number for Open Door Group Home#, Incorporated is 1184803686 and holds a License No. MHL036249 (North Carolina).

The current practice location address for Open Door Group Home#, Incorporated is 140 Shady Grove Rd, Kings Mountain, NC and can be reached out via phone at 704-739-6650.

Location: 140 Shady Grove Rd, Kings Mountain, NC, 28086-9669
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184803686
Provider Name
Open Door Group Home#, Incorporated
Credential
Provider Entity Type
Organization
Address
140 Shady Grove Rd, Kings Mountain, NC, 28086-9669
Phone Number
704-739-6650
Fax Number
Provider Enumeration Date
10/31/2007
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
140 Shady Grove Rd
City
Kings Mountain
State
North Carolina
Zip
28086-9669
Phone Number
704-739-6650
Fax Number
person
Provider Business Mailing Address Details
Address
140 Shady Grove Rd
City
Kings Mountain
State
North Carolina
Zip
28086-9669
Phone Number
704-739-6650
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.
MHL036249 (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.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
MHL036249 (North Carolina)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
MHL036249 (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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