# WHIPPLE'S GROUP HOME, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023298494
- **Authorized official:** MS. WANDA YVETTE WHIPPLE RN (OWNER/DIRECTOR)
- **Authorized official phone:** (704) 575-1749

## Contact information

- **Practice address:** 3134 PERIWINKLE CT, CHARLOTTE, NC 28269-3077
- **Practice address phone:** (704) 598-5051
- **Practice address fax:** (866) 861-2334
- **Mailing address:** 3134 PERIWINKLE CT, CHARLOTTE, NC 28269-3077
- **Mailing address phone:** (704) 598-5051
- **Mailing address fax:** (866) 861-2334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-060-1040 | NC | Yes |

## Other

- **Enumeration date:** 11/13/2007
- **Last updated:** 02/13/2008