Organization · Type 2 NPI

Universal Group Home LLC

Adult Care Home Facility · Mount Olive, NC

NPI number 1285033761 Active

Practice location

609 E Main St
Mount Olive, NC 28365-2248

Mailing address

411 Forest Dr
Goldsboro, NC 27534-3323

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XMHL-096-255 (NC)
Adult Care Home Facility 311ZA0620XMHL-031-075 (NC)
Adult Care Home Facility 311ZA0620XMHL-096-254 (NC)

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1285033761

Universal Group Home LLC's National Provider Identifier is 1285033761, issued on Aug 20, 2014. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Mount Olive, NC. The record was last updated on Aug 20, 2014.