Organization · Type 2 NPI
Baptist House at Bethabara
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Winston Salem, NC
Practice location
4643 Old Town Dr
Winston Salem, NC 27106-2616
Fax (336) 727-1547
Mailing address
PO Box 338
Thomasville, NC 27361-0338
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | FCA034057 (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 1710022918
Baptist House at Bethabara's National Provider Identifier is 1710022918, issued on Feb 21, 2007. 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 Aug 22, 2020.