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Lane's House Adult Group Home
Developmental Disabilities Clinic/Center in Rocky Mount, North Carolina
NPI 1306123294

Lane's House Adult Group Home is a Developmental Disabilities Clinic/Center based in Rocky Mount, NC and is specialized in Developmental Disabilities. Lane's House Adult Group Home practices in Rocky Mount, NC. The NPI Number for Lane's House Adult Group Home is 1306123294 and holds a License No. MHL-064-126 (North Carolina).

The current practice location address for Lane's House Adult Group Home is 3159 Octavia Dr, Rocky Mount, NC and can be reached out via phone at 252-903-4660. You can also correspond with Lane's House Adult Group Home through the mailing address at 3159 OCTAVIA DR, ROCKY MOUNT, NC - 27804-7959 (mailing address contact number: 252-903-4660).

Location: 3159 Octavia Dr, Rocky Mount, NC, 27804-7959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306123294
Provider Name
Lane's House Adult Group Home
Credential
Provider Entity Type
Organization
Address
3159 Octavia Dr, Rocky Mount, NC, 27804-7959
Phone Number
252-903-4660
Fax Number
Provider Enumeration Date
11/07/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MHL-064-126 01 NC MENTAL HEALTH LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
3159 Octavia Dr
City
Rocky Mount
State
North Carolina
Zip
27804-7959
Phone Number
252-903-4660
Fax Number
person
Provider Business Mailing Address Details
Address
3159 Octavia Dr
City
Rocky Mount
State
North Carolina
Zip
27804-7959
Phone Number
252-903-4660
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
MHL-064-126 (North Carolina)
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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