institution
Brushy Mountain Group Homes, Inc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Wilkesboro, North Carolina
NPI 1205940129

Brushy Mountain Group Homes, Inc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in North Wilkesboro, NC. Brushy Mountain Group Homes, Inc practices in North Wilkesboro, NC. The NPI Number for Brushy Mountain Group Homes, Inc is 1205940129 and holds a License No. MHL097045 (North Carolina).

The current practice location address for Brushy Mountain Group Homes, Inc is 179 Holly Brook St, North Wilkesboro, NC and can be reached out via phone at 336-670-9352 and via fax at 336-838-3490.

Location: 179 Holly Brook St, North Wilkesboro, NC, 28659-1045
institution
Provider Profile Details
NPI Number
1205940129
Provider Name
Brushy Mountain Group Homes, Inc
Credential
Provider Entity Type
Organization
Address
179 Holly Brook St, North Wilkesboro, NC, 28659-1045
Phone Number
336-670-9352
Fax Number
336-838-3490
Provider Enumeration Date
08/18/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
7804482 05 NC
institution
Provider Business Practice Location Address Details
Address
179 Holly Brook St
City
State
Zip
28659-8754
Phone Number
336-670-9352
Fax Number
336-838-3490
person
Provider Business Mailing Address Details
Address
179 Holly Brook St
City
State
Zip
28659-8754
Phone Number
336-670-9352
Fax Number
336-838-3490
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
MHL097045 (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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