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Dickens Group Home, Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Charlotte, North Carolina
NPI 1942464409

Dickens Group Home, Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Charlotte, NC. Dickens Group Home, Llc practices in Charlotte, NC. The NPI Number for Dickens Group Home, Llc is 1942464409 and holds a License No. (North Carolina).

The current practice location address for Dickens Group Home, Llc is 10719 Starwood Ave, Charlotte, NC and can be reached out via phone at 704-906-1519 and via fax at 704-573-9407.

Location: 10719 Starwood Ave, Charlotte, NC, 28215-9587
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942464409
Provider Name
Dickens Group Home, Llc
Credential
Provider Entity Type
Organization
Address
10719 Starwood Ave, Charlotte, NC, 28215-9587
Phone Number
704-906-1519
Fax Number
704-573-9407
Provider Enumeration Date
07/14/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10719 Starwood Ave
City
Charlotte
State
North Carolina
Zip
28215-9587
Phone Number
704-906-1519
Fax Number
704-573-9407
person
Provider Business Mailing Address Details
Address
10719 Starwood Ave
City
Charlotte
State
North Carolina
Zip
28215-9587
Phone Number
704-906-1519
Fax Number
704-573-9407
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
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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