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Lane Home
Emotionally Disturbed Childrens' Residential Treatment Facility in Selma, North Carolina
NPI 1578628574

Lane Home is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Selma, NC. Lane Home practices in Selma, NC. The NPI Number for Lane Home is 1578628574 and holds a License No. MHL-051-048 (North Carolina).

The current practice location address for Lane Home is 3620 Lizzie Mill Rd, Selma, NC and can be reached out via phone at 919-965-8407 and via fax at 919-965-8409.

Location: 3620 Lizzie Mill Rd, Selma, NC, 27576-8603
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578628574
Provider Name
Lane Home
Credential
Provider Entity Type
Organization
Address
3620 Lizzie Mill Rd, Selma, NC, 27576-8603
Phone Number
919-965-8407
Fax Number
919-965-8409
Provider Enumeration Date
12/27/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
6603522 05 NC
institution
Provider Business Practice Location Address Details
Address
3620 Lizzie Mill Rd
City
Selma
State
North Carolina
Zip
27576-8603
Phone Number
919-965-8407
Fax Number
919-965-8409
person
Provider Business Mailing Address Details
Address
3620 Lizzie Mill Rd
City
Selma
State
North Carolina
Zip
27576-8603
Phone Number
919-965-8407
Fax Number
919-965-8409
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
MHL-051-048 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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