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Organization
EMMANUEL MINISTRIES INTERNATIONAL, INC.
Active
Organization
EMMANUEL MINISTRIES INTERNATIONAL, INC.
Active
Other names
Homes of Emmanuel
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN JEAN FERNANDEZ MS, MT(ASCP)SH (EXECUTIVE DIRECTOR)
(336) 617-6510
Entity
Organization
Contact information
Practice address
1005 BRUSHY FORK DR, GREENSBORO, NC 27406-8061
(336) 617-6510
(336) 617-6510
Mailing address
PO BOX 1713, JAMESTOWN, NC 27282-1713
(336) 617-6510
(336) 617-6510
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL041913
NC
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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