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Guardian Light Group Home
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Hallsboro, North Carolina
NPI 1427177542

Guardian Light Group Home is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Whiteville, NC. Guardian Light Group Home practices in Hallsboro, NC. The NPI Number for Guardian Light Group Home is 1427177542 and holds a License No. MHL-024-056 (North Carolina).

The current practice location address for Guardian Light Group Home is 1294 Hallsboro Rd S, Hallsboro, NC and can be reached out via phone at 910-864-3163.

Location: 1294 Hallsboro Rd S, Hallsboro, NC, 28472-1877
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427177542
Provider Name
Guardian Light Group Home
Credential
Provider Entity Type
Organization
Address
1294 Hallsboro Rd S, Hallsboro, NC, 28472-1877
Phone Number
910-864-3163
Fax Number
Provider Enumeration Date
03/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6603682 05 NC
institution
Provider Business Practice Location Address Details
Address
1294 Hallsboro Rd S
City
Hallsboro
State
North Carolina
Zip
28442-9276
Phone Number
910-864-3163
Fax Number
person
Provider Business Mailing Address Details
Address
1294 Hallsboro Rd S
City
Hallsboro
State
North Carolina
Zip
28442-9276
Phone Number
910-864-3163
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
MHL-024-056 (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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