Individual provider · Type 1 NPI

Ronald Anthony Benjamin

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

NPI number 1487131074 Active

Practice location

1594 Candace Ridge Dr
Greensboro, NC 27406-8595

Call (336) 558-1742 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000X83-0571854 (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 1487131074

Ronald Anthony Benjamin's National Provider Identifier is 1487131074, issued on Jul 26, 2018. 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 Jul 26, 2018.