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Organization
WHITFIELD HOMES INC.
Active
Organization
WHITFIELD HOMES INC.
Active
Other names
Whitfield Homes ASP
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PERCY WILSON GOODE BS (OWNER PRESIDENT)
(910) 592-5462
Entity
Organization
Contact information
Practice address
202 SAMPSON ST, 1, CLINTON, NC 28328-2864
(910) 592-5462
(910) 590-2754
Mailing address
202 SAMPSON ST, 1, CLINTON, NC 28328-2864
(910) 592-5462
(910) 590-2754
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL-026-736
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-082-040
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL-082-045
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL-082-054
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
MHL-082-045
NC
Other
Enumeration date
10/31/2006
Last updated
09/05/2007
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