Davie County Group Home, Inc. in Mocksville - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Davie County Group Home, Inc. - NPI 1194807552
Davie County Group Home, Inc. is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Mocksville, North Carolina. Davie County Group Home, Inc. practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Davie County Group Home, Inc. is 1194807552. The last update date is 2020-08-22.
Davie County Group Home, Inc.'s current location address is 785 Sanford Ave, Mocksville, North Carolina. You can contact this provider via phone number 3367515014 and fax number 3367510036. The mailing address for Davie County Group Home, Inc. is 785 Sanford Ave, Mocksville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Davie County Group Home, Inc. |
|---|---|
| Address | 785 Sanford Ave, Mocksville, North Carolina |
| Phone Number | 3367515014 |
| Fax Number | 3367510036 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Rosser P. Judy |
| Telephone Number | 3367515014 |
NPI Number Detail
| NPI Number | 1194807552 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 785 Sanford Ave |
|---|---|
| City | Mocksville |
| State | North Carolina (NC) |
| Post Code | 270289700 |
| Phone Number | 3367515014 |
| Fax Number | 3367510036 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | MHL-030-021 |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3418213 | NC | -- | |
| 7804494 | NC | -- | |
| 8301090 | NC | -- |
Post Comment/ Review Below
What is the Davie County Group Home, Inc.'s unique identification number?
The Davie County Group Home, Inc. has been assigned the NPI (National Provider Identifier) Number 1194807552 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Davie County Group Home, Inc.?
The Davie County Group Home, Inc. is physically situated at 785 Sanford Ave, in the city of Mocksville, state of NC, with the postal code 270289700.
What is Davie County Group Home, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Davie County Group Home, Inc. is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that classifies this field of practice is 320600000X.
On what date did the Davie County Group Home, Inc. receive its 1194807552 assignment from the Centers for Medicare & Medicaid Services?
The Davie County Group Home, Inc. was assigned its 1194807552 by the Centers for Medicare & Medicaid Services on 2006-10-19.
As of what date were the details pertaining to Davie County Group Home, Inc. last refreshed?
The information related to the Davie County Group Home, Inc., including its address, specialty, and other relevant details, was last updated on 2020-08-22.