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Grace Development Clan Inc.
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Winston Salem, North Carolina
NPI 1780724484

Grace Development Clan Inc. is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Winston Salem, NC. Grace Development Clan Inc. practices in Winston Salem, NC. The NPI Number for Grace Development Clan Inc. is 1780724484 and holds a License No. MHL034210 (North Carolina).

The current practice location address for Grace Development Clan Inc. is 3502 Cherry St, Winston Salem, NC and can be reached out via phone at 336-480-8369 and via fax at 336-721-1176.

Location: 3502 Cherry St, Winston Salem, NC, 27105-3416
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780724484
Provider Name
Grace Development Clan Inc.
Credential
Provider Entity Type
Organization
Address
3502 Cherry St, Winston Salem, NC, 27105-3416
Phone Number
336-480-8369
Fax Number
336-721-1176
Provider Enumeration Date
02/08/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3502 Cherry St
City
Winston Salem
State
North Carolina
Zip
27105-3416
Phone Number
336-480-8369
Fax Number
336-721-1176
person
Provider Business Mailing Address Details
Address
3502 Cherry St
City
Winston Salem
State
North Carolina
Zip
27105-3416
Phone Number
336-480-8369
Fax Number
336-721-1176
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
MHL034210 (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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