G & D Residential Services, Llc in Greensboro - Community Based Residential Treatment Facility, Mental Illness

G & D Residential Services, Llc - NPI 1912103664

G & D Residential Services, Llc is a Community Based Residential Treatment Facility, Mental Illness in Greensboro, North Carolina. G & D Residential Services, Llc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for G & D Residential Services, Llc is 1912103664. The last update date is 2008-06-30.

G & D Residential Services, Llc's current location address is 800 Spruill Ct, Greensboro, North Carolina. You can contact this provider via phone number 3362546770 and fax number 3362728083. The mailing address for G & D Residential Services, Llc is 800 Spruill Ct, Greensboro, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization G & D Residential Services, Llc
Address 800 Spruill Ct, Greensboro, North Carolina
Phone Number 3362546770
Fax Number 3362728083
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO DIRECT
Authorized Official Name Martin Kenane Geovon
Credentials B. A.
Telephone Number 3362546770

NPI Number Detail

NPI Number 1912103664
Provider Enumeration Date 2007-06-21
Last Updated Date 2008-06-30

Provider Mailing Address Detail

Address 800 Spruill Ct
City Greensboro
State North Carolina (NC)
Post Code 274093042
Phone Number 3362546770
Fax Number 3362728083

Provider's Primary Taxonomy Detail

Speciality Community Based Residential Treatment Facility, Mental Illness
Taxonomy 320800000X
Licence No MHL-041-764
Definition:
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8300792G NC --

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FAQs about G & D Residential Services, Llc

What is the G & D Residential Services, Llc's unique identification number?

The G & D Residential Services, Llc has been assigned the NPI (National Provider Identifier) Number 1912103664 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where G & D Residential Services, Llc is located?

The G & D Residential Services, Llc is situated at the following address: 800 Spruill Ct, Greensboro, NC, 274093042.

What is the area of specialization for G & D Residential Services, Llc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for G & D Residential Services, Llc is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code that categorizes this area of expertise is 320800000X.

When did G & D Residential Services, Llc receive its 1912103664 assignment?

The G & D Residential Services, Llc was assigned its 1912103664 on 2007-06-21, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to G & D Residential Services, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to G & D Residential Services, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-06-30.

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