Shufford Group Home in Knightdale - Community Based Residential Treatment Facility, Mental Illness
Shufford Group Home - NPI 1639338825
Shufford Group Home is a Community Based Residential Treatment Facility, Mental Illness in Knightdale, North Carolina. Shufford Group Home practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Shufford Group Home is 1639338825. The last update date is 2008-06-19.
Shufford Group Home's current location address is 5164 Limewood St, Knightdale, North Carolina. You can contact this provider via phone number 9199860053 and fax number 9192310426. The mailing address for Shufford Group Home is 5164 Limewood St, Knightdale, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shufford Group Home |
|---|---|
| Address | 5164 Limewood St, Knightdale, North Carolina |
| Phone Number | 9199860053 |
| Fax Number | 9192310426 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Shufford Lashonda Annette |
| Telephone Number | 9199860053 |
NPI Number Detail
| NPI Number | 1639338825 |
|---|---|
| Provider Enumeration Date | 2008-06-03 |
| Last Updated Date | 2008-06-19 |
Provider Mailing Address Detail
| Address | 5164 Limewood St |
|---|---|
| City | Knightdale |
| State | North Carolina (NC) |
| Post Code | 275458138 |
| Phone Number | 9199860053 |
| Fax Number | 9192310426 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | MHL-092-709 |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
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What is the Shufford Group Home's 1639338825?
The Shufford Group Home's NPI (National Provider Identifier) Number is 1639338825. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Shufford Group Home located?
The Shufford Group Home is located at 5164 Limewood St, Knightdale, NC 275458138.
What is Shufford Group Home's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Shufford Group Home is Community Based Residential Treatment Facility, Mental Illness, and the taxonomy code that classifies this field of practice is 320800000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1639338825 to Shufford Group Home?
The Shufford Group Home received its 1639338825 assignment from the Centers for Medicare & Medicaid Services on 2008-06-03.
When was the information regarding Shufford Group Home most recently updated?
The details pertaining to the Shufford Group Home, including its address, specialty, and other relevant information, were last refreshed on 2008-06-19.
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