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Organization
UNION AVENUE GROUP HOME II
Active
Organization
UNION AVENUE GROUP HOME II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY N WOODS (OWNER)
(336) 214-3028
Entity
Organization
Contact information
Practice address
605 WHITSETT AVE, GIBSONVILLE, NC 27249-2042
(336) 214-3028
Mailing address
605 WHITSETT AVE, GIBSONVILLE, NC 27249-2042
(336) 214-3028
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
MHL-041-1080
NC
Other
Enumeration date
04/09/2014
Last updated
04/10/2014
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