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Baptist House At Bethabara
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Winston Salem, North Carolina
NPI 1710022918

Baptist House At Bethabara is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Thomasville, NC. Baptist House At Bethabara practices in Winston Salem, NC. The NPI Number for Baptist House At Bethabara is 1710022918 and holds a License No. FCA034057 (North Carolina).

The current practice location address for Baptist House At Bethabara is 4643 Old Town Dr, Winston Salem, NC and can be reached out via phone at 336-727-1973 and via fax at 336-727-1547.

Location: 4643 Old Town Dr, Winston Salem, NC, 27361-0338
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710022918
Provider Name
Baptist House At Bethabara
Credential
Provider Entity Type
Organization
Address
4643 Old Town Dr, Winston Salem, NC, 27361-0338
Phone Number
336-727-1973
Fax Number
336-727-1547
Provider Enumeration Date
02/21/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7804105 05 NC
institution
Provider Business Practice Location Address Details
Address
4643 Old Town Dr
City
Winston Salem
State
North Carolina
Zip
27106-2616
Phone Number
336-727-1973
Fax Number
336-727-1547
person
Provider Business Mailing Address Details
Address
4643 Old Town Dr
City
Winston Salem
State
North Carolina
Zip
27106-2616
Phone Number
336-727-1973
Fax Number
336-727-1547
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
FCA034057 (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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