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Organization
CAPE FEAR GROUP HOMES, INC.
Active
Organization
CAPE FEAR GROUP HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD M WALSH (EXECUTIVE DIRECTOR)
(910) 251-2555
Entity
Organization
Contact information
Practice address
1519 ROBERT E LEE DR, WILMINGTON, NC 28412-7180
(910) 251-2555
(910) 251-0590
Mailing address
PO BOX 4203, WILMINGTON, NC 28406-1203
(910) 251-2555
(910) 251-0590
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340602A
—
NC
05
—
340602N
—
NC
Enumeration date
10/19/2006
Last updated
03/04/2021
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