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Davie County Group Home, Inc.
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Mocksville, North Carolina
NPI 1194807552

Davie County Group Home, Inc. is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Mocksville, NC. Davie County Group Home, Inc. practices in Mocksville, NC. The NPI Number for Davie County Group Home, Inc. is 1194807552 and holds a License No. MHL-030-021 (North Carolina).

The current practice location address for Davie County Group Home, Inc. is 785 Sanford Ave, Mocksville, NC and can be reached out via phone at 336-751-5014 and via fax at 336-751-0036.

Location: 785 Sanford Ave, Mocksville, NC, 27028-9700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194807552
Provider Name
Davie County Group Home, Inc.
Credential
Provider Entity Type
Organization
Address
785 Sanford Ave, Mocksville, NC, 27028-9700
Phone Number
336-751-5014
Fax Number
336-751-0036
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
3418213 05 NC
7804494 05 NC
8301090 05 NC
institution
Provider Business Practice Location Address Details
Address
785 Sanford Ave
City
Mocksville
State
North Carolina
Zip
27028-9700
Phone Number
336-751-5014
Fax Number
336-751-0036
person
Provider Business Mailing Address Details
Address
785 Sanford Ave
City
Mocksville
State
North Carolina
Zip
27028-9700
Phone Number
336-751-5014
Fax Number
336-751-0036
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
MHL-030-021 (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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