# WHITFIELD HOMES INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Whitfield Homes ASP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760568778
- **Authorized official:** MR. PERCY WILSON GOODE BS (OWNER PRESIDENT)
- **Authorized official phone:** (910) 592-5462

## Contact information

- **Practice address:** 202 SAMPSON ST, 1, CLINTON, NC 28328-2864
- **Practice address phone:** (910) 592-5462
- **Practice address fax:** (910) 590-2754
- **Mailing address:** 202 SAMPSON ST, 1, CLINTON, NC 28328-2864
- **Mailing address phone:** (910) 592-5462
- **Mailing address fax:** (910) 590-2754

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-026-736 | NC | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-082-040 | NC | Yes |
| 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