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Mr. Byron Keith White
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Burlington, North Carolina
NPI 1922158880

Byron Keith White is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Burlington, NC. Byron Keith White practices in Burlington, NC. The NPI Number for Byron Keith White is 1922158880 and holds a License No. MHL-001-107 (North Carolina).

The current practice location address for Byron Keith White is 607 Pinnix Rd, Burlington, NC and can be reached out via phone at 336-227-1289.

Location: 607 Pinnix Rd, Burlington, NC, 27215-0334
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922158880
Provider Name
Byron Keith White
Credential
Provider Entity Type
Individual
Gender
Male
Address
607 Pinnix Rd, Burlington, NC, 27215-0334
Phone Number
336-227-1289
Fax Number
Provider Enumeration Date
01/11/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7804722 05 NC
institution
Provider Business Practice Location Address Details
Address
607 Pinnix Rd
City
Burlington
State
North Carolina
Zip
27217-8555
Phone Number
336-227-1289
Fax Number
person
Provider Business Mailing Address Details
Address
607 Pinnix Rd
City
Burlington
State
North Carolina
Zip
27217-8555
Phone Number
336-227-1289
Fax Number
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-001-107 (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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