institution
Coltrane's Group Home
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Greensboro, North Carolina
NPI 1437324902

Coltrane's Group Home is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Greensboro, NC. Coltrane's Group Home practices in Greensboro, NC. The NPI Number for Coltrane's Group Home is 1437324902 and holds a License No. MHL-041-620 (North Carolina).

The current practice location address for Coltrane's Group Home is 3811 Repon St, Greensboro, NC and can be reached out via phone at 336-299-1419. You can also correspond with Coltrane's Group Home through the mailing address at PO BOX 79113, GREENSBORO, NC - 27417-9113 (mailing address contact number: 336-299-1419).

Location: 3811 Repon St, Greensboro, NC, 27417-9113
institution
Provider Profile Details
NPI Number
1437324902
Provider Name
Coltrane's Group Home
Credential
Provider Entity Type
Organization
Address
3811 Repon St, Greensboro, NC, 27417-9113
Phone Number
336-299-1419
Fax Number
Provider Enumeration Date
04/25/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7804354 05 NC
institution
Provider Business Practice Location Address Details
Address
3811 Repon St
City
State
Zip
27407-5536
Phone Number
336-299-1419
Fax Number
person
Provider Business Mailing Address Details
Address
3811 Repon St
City
State
Zip
27407-5536
Phone Number
336-299-1419
Fax Number
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.
MHL-041-620 (North Carolina)
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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