# VINEYARD HOMES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518001544
- **Authorized official:** ROBERT EARL GRANT JR. B.S. (PRESIDENT - OWNER)
- **Authorized official phone:** (919) 751-0503

## Contact information

- **Practice address:** 2704 WARRICK CIR, GOLDSBORO, NC 27534-7658
- **Practice address phone:** (919) 778-3412
- **Practice address fax:** (919) 778-3412
- **Mailing address:** 2704 WARRICK CIR, GOLDSBORO, NC 27534-7658
- **Mailing address phone:** (919) 778-3412
- **Mailing address fax:** (919) 778-3412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-096-133 | NC | Yes |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 08/22/2020
