Organization · Type 2 NPI
Magnanimous Group Home LLC
Emotionally Disturbed Childrens' Residential Treatment Facility · Pink Hill, NC
NPI number
1003047069
Active
Practice location
9407 Hwy 41 W
Pink Hill, NC 28572-7021
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Agency | 251B00000X | None listed |
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | MHL-052-016 (NC) |
| Respite Care | 385H00000X | None listed |
Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
About NPI 1003047069
Magnanimous Group Home LLC's National Provider Identifier is 1003047069, issued on Aug 6, 2009. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Pink Hill, NC. The record was last updated on Aug 6, 2009.