Organization · Type 2 NPI

McDaniel Homes,llc

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

NPI number 1710326079 Active

Practice location

192 Country Club Rd # 27574, 4694 Chub Lake Rd
Roxboro, NC 27574-7448

Fax (336) 599-8186

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency	251S00000X	None listed
Adult Care Home Facility	311ZA0620X	MHL 073-061 (NC)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	MHL-073-061 (NC)
Child Intellectual and/or Developmental Disabilities Respite Care	385HR2060X	None listed

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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NPI record

NPI: 1710326079
Entity type: Organization (Type 2)
Issued: Jun 20, 2013
Last updated: Dec 12, 2019
Status: Active

Other names

<unavail>
McDaniel Home #1, #2, #3 · doing business as
McDaniel Home #1, #2, #3 · doing business as

Authorized official

Mrs. Peggy Davis- McDaniel
Director
(336) 599-5473

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About NPI 1710326079

McDaniel Homes,llc's National Provider Identifier is 1710326079, issued on Jun 20, 2013. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Roxboro, NC. The record was last updated on Dec 12, 2019.