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Addie Watson
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Greensboro, North Carolina
NPI 1881711802

Addie Watson is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Greensboro, NC. Addie Watson practices in Greensboro, NC. The NPI Number for Addie Watson is 1881711802 and holds a License No. MHL041048 (North Carolina).

The current practice location address for Addie Watson is 1310 Elwell Ave, Greensboro, NC and can be reached out via phone at 336-275-1461. You can also correspond with Addie Watson through the mailing address at P.O. BOX 20084, GREENSBORO, NC - 27420-0084 (mailing address contact number: ).

Location: 1310 Elwell Ave, Greensboro, NC, 27420-0084
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Provider Profile Details
NPI Number
1881711802
Provider Name
Addie Watson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1310 Elwell Ave, Greensboro, NC, 27420-0084
Phone Number
336-275-1461
Fax Number
Provider Enumeration Date
03/23/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3406414 05 NC
institution
Provider Business Practice Location Address Details
Address
1310 Elwell Ave
City
State
Zip
27405-6118
Phone Number
336-275-1461
Fax Number
person
Provider Business Mailing Address Details
Address
1310 Elwell Ave
City
State
Zip
27405-6118
Phone Number
336-275-1461
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
MHL041048 (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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