Organization · Type 2 NPI

Lane's House Adult Group Home

Developmental Disabilities Clinic/Center · Rocky Mount, NC

NPI number 1306123294 Active

Practice location

3159 Octavia Dr
Rocky Mount, NC 27804-7959

Specialties and licenses

TaxonomyCodeLicense
Developmental Disabilities Clinic/Center Primary 261QD1600XMHL-064-126 (NC)

Developmental Disabilities Clinic/Center: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

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About NPI 1306123294

Lane's House Adult Group Home's National Provider Identifier is 1306123294, issued on Nov 7, 2011. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Rocky Mount, NC. The record was last updated on Dec 8, 2011.