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Williams Group Home, Inc.
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Burgaw, North Carolina
NPI 1396805735

Williams Group Home, Inc. is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Burgaw, NC. Williams Group Home, Inc. practices in Burgaw, NC. The NPI Number for Williams Group Home, Inc. is 1396805735 and holds a License No. MHL071-020 (North Carolina).

The current practice location address for Williams Group Home, Inc. is 2161 New Rd, Burgaw, NC and can be reached out via phone at 910-259-7677 and via fax at 910-259-6009.

Location: 2161 New Rd, Burgaw, NC, 28425-0696
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396805735
Provider Name
Williams Group Home, Inc.
Credential
Provider Entity Type
Organization
Address
2161 New Rd, Burgaw, NC, 28425-0696
Phone Number
910-259-7677
Fax Number
910-259-6009
Provider Enumeration Date
12/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6603788 05 NC
institution
Provider Business Practice Location Address Details
Address
2161 New Rd
City
Burgaw
State
North Carolina
Zip
28425-3143
Phone Number
910-259-7677
Fax Number
910-259-6009
person
Provider Business Mailing Address Details
Address
2161 New Rd
City
Burgaw
State
North Carolina
Zip
28425-3143
Phone Number
910-259-7677
Fax Number
910-259-6009
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
MHL071-020 (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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