# STACY DAVENPORT-BAIRD DBA WELCOME HOME GROUP HOME

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

## Provider details

- **NPI number:** 1518127315
- **Authorized official:** STACY VEE DAVENPORT-BAIRD (ADMINISTRATOR/ OWNER)
- **Authorized official phone:** (252) 813-5557

## Contact information

- **Practice address:** 1522 GLEN EAGLES CT, NASHVILLE, NC 27856-9585
- **Practice address phone:** (252) 813-5557
- **Mailing address:** 1522 GLEN EAGLES CT, NASHVILLE, NC 27856-9585
- **Mailing address phone:** (252) 813-5557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/15/2008
- **Last updated:** 07/28/2023