Individual provider · Type 1 NPI
Joan M. White
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Winston Salem, NC
Practice location
4505 Kimball Ln
Winston Salem, NC 27105-3212
Fax (336) 600-2350
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | 034-417 (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.
Other intellectual and/or developmental disabilities residential treatment facility providers in Winston Salem
About NPI 1427879022
Joan M. White's National Provider Identifier is 1427879022, issued on Oct 17, 2024. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Winston Salem, NC. The record was last updated on Oct 17, 2024.