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Stacy Davenport-baird Dba Welcome Home Group Home
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Nashville, North Carolina
NPI 1518127315

Stacy Davenport-baird Dba Welcome Home Group Home is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Nashville, NC. Stacy Davenport-baird Dba Welcome Home Group Home practices in Nashville, NC. The NPI Number for Stacy Davenport-baird Dba Welcome Home Group Home is 1518127315 and holds a License No. (North Carolina).

The current practice location address for Stacy Davenport-baird Dba Welcome Home Group Home is 1522 Glen Eagles Ct, Nashville, NC and can be reached out via phone at 252-813-5557.

Location: 1522 Glen Eagles Ct, Nashville, NC, 27856-9585
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518127315
Provider Name
Stacy Davenport-baird Dba Welcome Home Group Home
Credential
Provider Entity Type
Organization
Address
1522 Glen Eagles Ct, Nashville, NC, 27856-9585
Phone Number
252-813-5557
Fax Number
Provider Enumeration Date
06/15/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7806033 05 NC
MHL-064-088 01 NC NC DHSR
institution
Provider Business Practice Location Address Details
Address
1522 Glen Eagles Ct
City
Nashville
State
North Carolina
Zip
27856-9585
Phone Number
252-813-5557
Fax Number
person
Provider Business Mailing Address Details
Address
1522 Glen Eagles Ct
City
Nashville
State
North Carolina
Zip
27856-9585
Phone Number
252-813-5557
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.
()
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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