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Edwards Group Home 4
Mental Illness Community Based Residential Treatment Facility in Stantonsburg, North Carolina
NPI 1609906288

Edwards Group Home 4 is a Mental Illness Community Based Residential Treatment Facility based in Snow Hill, NC. Edwards Group Home 4 practices in Stantonsburg, NC. The NPI Number for Edwards Group Home 4 is 1609906288 and holds a License No. MHL040027 (North Carolina).

The current practice location address for Edwards Group Home 4 is 1269 Apple Tree Rd, Stantonsburg, NC and can be reached out via phone at 252-747-4000 and via fax at 252-747-2602.

Location: 1269 Apple Tree Rd, Stantonsburg, NC, 28580-0295
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609906288
Provider Name
Edwards Group Home 4
Credential
Provider Entity Type
Organization
Address
1269 Apple Tree Rd, Stantonsburg, NC, 28580-0295
Phone Number
252-747-4000
Fax Number
252-747-2602
Provider Enumeration Date
03/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7805335 01 NC PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
1269 Apple Tree Rd
City
Stantonsburg
State
North Carolina
Zip
27883-9039
Phone Number
252-747-4000
Fax Number
252-747-2602
person
Provider Business Mailing Address Details
Address
1269 Apple Tree Rd
City
Stantonsburg
State
North Carolina
Zip
27883-9039
Phone Number
252-747-4000
Fax Number
252-747-2602
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
MHL040027 (North Carolina)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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