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Stout
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Shelby, North Carolina
NPI 1629395934

Stout is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Shelby, NC. Stout practices in Shelby, NC. The NPI Number for Stout is 1629395934 and holds a License No. MHL # 023-097 (North Carolina).

The current practice location address for Stout is 605 E Grover St, Shelby, NC and can be reached out via phone at 704-297-2601 and via fax at 704-482-2081.

Location: 605 E Grover St, Shelby, NC, 28150-3832
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629395934
Provider Name
Stout
Credential
Provider Entity Type
Organization
Address
605 E Grover St, Shelby, NC, 28150-3832
Phone Number
704-297-2601
Fax Number
704-482-2081
Provider Enumeration Date
04/26/2010
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
605 E Grover St
City
Shelby
State
North Carolina
Zip
28150-4033
Phone Number
704-297-2601
Fax Number
704-482-2081
person
Provider Business Mailing Address Details
Address
605 E Grover St
City
Shelby
State
North Carolina
Zip
28150-4033
Phone Number
704-297-2601
Fax Number
704-482-2081
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 # 023-097 (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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