Organization · Type 2 NPI

Eason Court Group Home

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

NPI number 1790861334 Active

Practice location

113 Eason Ct
Youngsville, NC 27596-9228

Fax (919) 556-3003

Mailing address

PO Box 759
Youngsville, NC 27596-0759

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XMHL-035-029 (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 1790861334

Eason Court Group Home's National Provider Identifier is 1790861334, issued on Oct 27, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Youngsville, NC. The record was last updated on Dec 29, 2011.