# NURTURING NEST RESIDENTIAL HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nurturing Nest Residential Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174340913
- **Authorized official:** MRS. K'LYNN BEAL MS (OWNER/DIRECTOR)
- **Authorized official phone:** (419) 699-5739

## Contact information

- **Practice address:** 3901 THOMPSON ST, CHARLOTTE, NC 28216-3941
- **Practice address phone:** (419) 699-5739
- **Mailing address:** 1200 S MINT ST APT 633, CHARLOTTE, NC 28203-6843
- **Mailing address phone:** (419) 699-5739

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 09/23/2024
- **Last updated:** 09/23/2024