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Springwell Network, Inc.
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Winston Salem, North Carolina
NPI 1215028246

Springwell Network, Inc. is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Winston Salem, NC. Springwell Network, Inc. practices in Winston Salem, NC. The NPI Number for Springwell Network, Inc. is 1215028246 and holds a License No. MHL-034-361 (North Carolina).

The current practice location address for Springwell Network, Inc. is 3830 Ebert Street, Winston Salem, NC and can be reached out via phone at 336-785-2635 and via fax at 336-831-1314.

Location: 3830 Ebert Street, Winston Salem, NC, 27105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215028246
Provider Name
Springwell Network, Inc.
Credential
Provider Entity Type
Organization
Address
3830 Ebert Street, Winston Salem, NC, 27105
Phone Number
336-785-2635
Fax Number
336-831-1314
Provider Enumeration Date
09/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7804420 05 NC
institution
Provider Business Practice Location Address Details
Address
3830 Ebert Street
City
Winston Salem
State
North Carolina
Zip
27127-5742
Phone Number
336-785-2635
Fax Number
336-831-1314
person
Provider Business Mailing Address Details
Address
3830 Ebert Street
City
Winston Salem
State
North Carolina
Zip
27127-5742
Phone Number
336-785-2635
Fax Number
336-831-1314
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
MHL034150 (North Carolina)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
MHL-034-361 (North Carolina)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
MHL-034-361 (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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