# BAPTIST HOUSE AT BETHABARA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Baptist Children's Homes of NC, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710022918
- **Authorized official:** MR. C. F. MCDOWELL III (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (336) 474-1260

## Contact information

- **Practice address:** 4643 OLD TOWN DR, WINSTON SALEM, NC 27106-2616
- **Practice address phone:** (336) 727-1973
- **Practice address fax:** (336) 727-1547
- **Mailing address:** PO BOX 338, THOMASVILLE, NC 27361-0338
- **Mailing address phone:** (336) 474-1260
- **Mailing address fax:** (336) 472-8157

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | FCA034057 | NC | Yes |

## Other

- **Enumeration date:** 02/21/2007
- **Last updated:** 08/22/2020