institution
Coltranes Group Home
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Greensboro, North Carolina
NPI 1366594715

Coltranes Group Home is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Greensboro, NC. Coltranes Group Home practices in Greensboro, NC. The NPI Number for Coltranes Group Home is 1366594715 and holds a License No. (North Carolina).

The current practice location address for Coltranes Group Home is 3811 Repon St, Greensboro, NC and can be reached out via phone at 336-299-9757 and via fax at 336-299-1419. You can also correspond with Coltranes Group Home through the mailing address at 3811 REPON ST, GREENSBORO, NC - 27407-5536 (mailing address contact number: 336-299-9757).

Location: 3811 Repon St, Greensboro, NC, 27407-5536
institution
Provider Profile Details
NPI Number
1366594715
Provider Name
Coltranes Group Home
Credential
Provider Entity Type
Organization
Address
3811 Repon St, Greensboro, NC, 27407-5536
Phone Number
336-299-9757
Fax Number
336-299-1419
Provider Enumeration Date
01/17/2007
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
3408773 05 NC
7804354 05 NC
institution
Provider Business Practice Location Address Details
Address
3811 Repon St
City
State
Zip
27407-5536
Phone Number
336-299-9757
Fax Number
336-299-1419
person
Provider Business Mailing Address Details
Address
3811 Repon St
City
State
Zip
27407-5536
Phone Number
336-299-9757
Fax Number
336-299-1419
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
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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