Grace Development Clan Inc. in Winston Salem - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Grace Development Clan Inc. - NPI 1780724484
Grace Development Clan Inc. is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Winston Salem, North Carolina. Grace Development Clan Inc. practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Grace Development Clan Inc. is 1780724484. The last update date is 2020-08-22.
Grace Development Clan Inc.'s current location address is 3502 Cherry St, Winston Salem, North Carolina. You can contact this provider via phone number 3364808369 and fax number 3367211176. The mailing address for Grace Development Clan Inc. is 3502 Cherry St, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grace Development Clan Inc. |
|---|---|
| Address | 3502 Cherry St, Winston Salem, North Carolina |
| Phone Number | 3364808369 |
| Fax Number | 3367211176 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Barnes G Tonya |
| Telephone Number | 3364808369 |
NPI Number Detail
| NPI Number | 1780724484 |
|---|---|
| Provider Enumeration Date | 2007-02-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3502 Cherry St |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271053416 |
| Phone Number | 3364808369 |
| Fax Number | 3367211176 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | MHL034210 |
|
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. |
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Post Comment/ Review Below
What is the unique identification code assigned to Grace Development Clan Inc. by the Centers for Medicare & Medicaid Services?
The Grace Development Clan Inc. has been issued the NPI (National Provider Identifier) 1780724484. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Grace Development Clan Inc.'s facilities are situated?
The facilities of Grace Development Clan Inc. are physically located at the following address: 3502 Cherry St, Winston Salem, NC, 271053416.
What is Grace Development Clan Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Grace Development Clan Inc.'s area of specialization is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 320600000X.
On what date did the Grace Development Clan Inc. receive the assignment of its 1780724484 from the Centers for Medicare & Medicaid Services?
The Grace Development Clan Inc. was issued its 1780724484 by the Centers for Medicare & Medicaid Services on 2007-02-08.
When was the information pertaining to Grace Development Clan Inc. most recently updated or revised?
The details related to Grace Development Clan Inc., including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.