Person County Group Homes, Inc in Roxboro - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities

Person County Group Homes, Inc - NPI 1336285774

Person County Group Homes, Inc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Roxboro, North Carolina. Person County Group Homes, Inc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Person County Group Homes, Inc is 1336285774. The last update date is 2013-08-29.

Person County Group Homes, Inc's current location address is Po Box 721, Roxboro, North Carolina. You can contact this provider via phone number 3365999421 and fax number 3365997220. The mailing address for Person County Group Homes, Inc is Po Box 721, Roxboro, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Person County Group Homes, Inc
Address Po Box 721, Roxboro, North Carolina
Phone Number 3365999421
Fax Number 3365997220
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Forsythe W David
Telephone Number 3365999421

NPI Number Detail

NPI Number 1336285774
Provider Enumeration Date 2007-01-30
Last Updated Date 2013-08-29

Provider Mailing Address Detail

Address Po Box 721
City Roxboro
State North Carolina (NC)
Post Code 275730721
Phone Number 3365999421
Fax Number 3365997220

Provider's Primary Taxonomy Detail

Speciality Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320900000X
Licence No MHL 073 026
Definition:
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7803486 NC --

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FAQs about Person County Group Homes, Inc

What is the unique identifier code issued to Person County Group Homes, Inc by the Centers for Medicare & Medicaid Services (CMS)?

The Person County Group Homes, Inc has been assigned the NPI (National Provider Identifier) 1336285774. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Person County Group Homes, Inc is geographically located?

The Person County Group Homes, Inc is physically situated at the following location: Po Box 721, Roxboro, NC, 275730721.

What is the Person County Group Homes, Inc's specialty and taxonomy code?

The Person County Group Homes, Inc's specialty is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code is 320900000X.

On what date did the Person County Group Homes, Inc receive the assignment of its 1336285774 from the Centers for Medicare & Medicaid Services?

The Person County Group Homes, Inc was issued its 1336285774 by the Centers for Medicare & Medicaid Services on 2007-01-30.

As of what date were the Person County Group Homes, Inc's details last updated?

The information pertaining to the Person County Group Homes, Inc, including its address, specialty, and other details, was most recently updated on 2013-08-29.

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