Organization · Type 2 NPI

Heavenly Angels Group Home, Inc

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

NPI number 1457591356 Active

Practice location

3725 Anita Ln
Greensboro, NC 27405-9412

Fax (336) 358-2136

Mailing address

503 W Mcgee St
Greensboro, NC 27401-2702

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XMHL-041-895 (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 1457591356

Heavenly Angels Group Home, Inc's National Provider Identifier is 1457591356, issued on Mar 5, 2009. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Greensboro, NC. The record was last updated on Mar 5, 2009.