Shufford Group Home in Knightdale - Residential Treatment Facility, Emotionally Disturbed Children
Shufford Group Home - NPI 1639338825
Shufford Group Home is a Residential Treatment Facility, Emotionally Disturbed Children in Knightdale, North Carolina. Shufford Group Home practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. 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 |
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Address | 5164 Limewood St, Knightdale, North Carolina |
Phone Number | 9199860053 |
Fax Number | 9192310426 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Shufford Lashonda Annette |
Telephone Number | 9199860053 |
NPI Number Detail
NPI Number | 1639338825 |
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Provider Enumeration Date | 2008-06-03 |
Last Updated Date | 2008-06-19 |
Provider Mailing Address Detail
Address | 5164 Limewood St |
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City | Knightdale |
State | North Carolina (NC) |
Post Code | 275458138 |
Phone Number | 9199860053 |
Fax Number | 9192310426 |
Provider's Primary Taxonomy Detail
Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
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Taxonomy | 322D00000X |
Licence No | MHL-092-709 |
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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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 Residential Treatment Facility, Emotionally Disturbed Children, and the taxonomy code that classifies this field of practice is 322D00000X.
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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