# BEAUFORT COUNTY DEVELOPMENTAL CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Beaufort County Group Home \#2
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477684116
- **Authorized official:** MRS. ELENA GILMORE CAMERON (COO)
- **Authorized official phone:** (252) 946-0151

## Contact information

- **Practice address:** 1534 W 5TH ST, WASHINGTON, NC 27889-4108
- **Practice address phone:** (252) 946-0151
- **Practice address fax:** (252) 946-9783
- **Mailing address:** P.O. BOX 518, WASHINGTON, NC 27889-4108
- **Mailing address phone:** (252) 946-0151
- **Mailing address fax:** (252) 946-9783

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | MHL-007-027 | NC | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-007-027 | NC | Yes |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL007027 | NC | — |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | MHL007027 | NC | — |

## Other

- **Enumeration date:** 03/07/2007
- **Last updated:** 02/17/2017