Organization · Type 2 NPI

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Intellectual and/or Developmental Disabilities Residential Treatment Facility · Rocky Mount, NC

NPI number 1104010677 Active

Practice location

1400 West Mount Dr
Rocky Mount, NC 27803-3107

Call (252) 443-0593 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center 261QM0850XMHL064085 (NC)
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XMHL064085 (NC)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: 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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About NPI 1104010677

Welcome Home Group Home's National Provider Identifier is 1104010677, issued on Aug 28, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Rocky Mount, NC. The record was last updated on Jul 3, 2008.