institution
Gretchen Ann Mccord
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jacksonville, North Carolina
NPI 1811001688

Gretchen Ann Mccord is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Jacksonville, NC. Gretchen Ann Mccord practices in Jacksonville, NC. The NPI Number for Gretchen Ann Mccord is 1811001688 and holds a License No. MHL-067-112 (North Carolina).

The current practice location address for Gretchen Ann Mccord is 306 Paddock Place, Jacksonville, NC and can be reached out via phone at 910-219-0635. You can also correspond with Gretchen Ann Mccord through the mailing address at 306 PADDOCK PLACE, JACKSONVILLE, NC - 28546 (mailing address contact number: 910-219-0635).

Location: 306 Paddock Place, Jacksonville, NC, 28546
institution
Provider Profile Details
NPI Number
1811001688
Provider Name
Gretchen Ann Mccord
Credential
Provider Entity Type
Organization
Address
306 Paddock Place, Jacksonville, NC, 28546
Phone Number
910-219-0635
Fax Number
Provider Enumeration Date
08/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3409047 05 NC
institution
Provider Business Practice Location Address Details
Address
306 Paddock Place
City
State
Zip
28546
Phone Number
910-219-0635
Fax Number
person
Provider Business Mailing Address Details
Address
306 Paddock Place
City
State
Zip
28546
Phone Number
910-219-0635
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
MHL-067-112 (North Carolina)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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