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Shufford Group Home
Emotionally Disturbed Childrens' Residential Treatment Facility in Knightdale, North Carolina
NPI 1639338825

Shufford Group Home is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Raleigh, NC. Shufford Group Home practices in Knightdale, NC. The NPI Number for Shufford Group Home is 1639338825 and holds a License No. MHL-092-709 (North Carolina).

The current practice location address for Shufford Group Home is 5164 Limewood St, Knightdale, NC and can be reached out via phone at 919-986-0053 and via fax at 919-231-0426.

Location: 5164 Limewood St, Knightdale, NC, 27610-5461
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639338825
Provider Name
Shufford Group Home
Credential
Provider Entity Type
Organization
Address
5164 Limewood St, Knightdale, NC, 27610-5461
Phone Number
919-986-0053
Fax Number
919-231-0426
Provider Enumeration Date
06/03/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5164 Limewood St
City
Knightdale
State
North Carolina
Zip
27545-8138
Phone Number
919-986-0053
Fax Number
919-231-0426
person
Provider Business Mailing Address Details
Address
5164 Limewood St
City
Knightdale
State
North Carolina
Zip
27545-8138
Phone Number
919-986-0053
Fax Number
919-231-0426
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
MHL-092-709 (North Carolina)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
MHL-092-709 (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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