Organization · Type 2 NPI

Davie County Group Home, Inc.

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

NPI number 1194807552 Active

Practice location

785 Sanford Ave
Mocksville, NC 27028-9700

Fax (336) 751-0036

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XMHL-030-021 (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 1194807552

Davie County Group Home, Inc.'s National Provider Identifier is 1194807552, issued on Oct 19, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Mocksville, NC. The record was last updated on Aug 22, 2020.