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Fairley Support Group Home Inc.
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Maxton, North Carolina
NPI 1710170238

Fairley Support Group Home Inc. is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Maxton, NC. Fairley Support Group Home Inc. practices in Maxton, NC. The NPI Number for Fairley Support Group Home Inc. is 1710170238 and holds a License No. MHL-078-174 (North Carolina).

The current practice location address for Fairley Support Group Home Inc. is 12519 Us Hwy 501 South, Maxton, NC and can be reached out via phone at 910-844-1880 and via fax at 910-844-1880. You can also correspond with Fairley Support Group Home Inc. through the mailing address at PO BOX 182, MAXTON, NC - 28364-0182 (mailing address contact number: 910-844-1880).

Location: 12519 Us Hwy 501 South, Maxton, NC, 28364-0182
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710170238
Provider Name
Fairley Support Group Home Inc.
Credential
Provider Entity Type
Organization
Address
12519 Us Hwy 501 South, Maxton, NC, 28364-0182
Phone Number
910-844-1880
Fax Number
910-844-1880
Provider Enumeration Date
08/20/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12519 Us Hwy 501 South
City
Maxton
State
North Carolina
Zip
28364
Phone Number
910-844-1880
Fax Number
910-844-1880
person
Provider Business Mailing Address Details
Address
12519 Us Hwy 501 South
City
Maxton
State
North Carolina
Zip
28364
Phone Number
910-844-1880
Fax Number
910-844-1880
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-078-174 (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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