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Organization
BRUSHY MOUNTAIN GROUP HOMES, INC
Active
Organization
BRUSHY MOUNTAIN GROUP HOMES, INC
Active
Other names
Holly Hills Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLEY DARLENE GAMBLE (EXECUTIVE DIRECTOR)
(336) 838-3789
Entity
Organization
Contact information
Practice address
179 HOLLY BROOK ST, NORTH WILKESBORO, NC 28659-8754
(336) 670-9352
(336) 838-3490
Mailing address
PO BOX 1045, NORTH WILKESBORO, NC 28659-1045
(336) 838-3789
(336) 838-3490
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL097045
NC
Other
Enumeration date
08/18/2006
Last updated
06/19/2008
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