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Organization
WELCOME HOME GROUP HOME
Active
Organization
WELCOME HOME GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY VEE FARROW (ADMINISTRATOR)
(252) 443-0593
Entity
Organization
Contact information
Practice address
1400 WEST MOUNT DR, ROCKY MT, NC 27803-3107
(252) 443-0593
Mailing address
1400 WEST MOUNT DR, ROCKY MOUNT, NC 27803-3107
(252) 443-0593
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
MHL064085
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL064085
NC
Other
Enumeration date
08/28/2007
Last updated
07/03/2008
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