Organization · Type 2 NPI

Coltrane's Group Home

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Greensboro, NC

NPI number 1437324902 Active

Practice location

3811 Repon St
Greensboro, NC 27407-5536

Call (336) 299-1419 Map

Mailing address

PO Box 79113
Greensboro, NC 27417-9113

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XMHL-041-620 (NC)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1437324902

Coltrane's Group Home's National Provider Identifier is 1437324902, issued on Apr 25, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Greensboro, NC. The record was last updated on Apr 25, 2008.