# THREE FORKS HOME

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

## Provider details

- **NPI number:** 1780875138
- **Authorized official:** MR. C. F. MCDOWELL III (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (336) 474-1260

## Contact information

- **Practice address:** 392 CAMP JOY ROAD, THREE FORKS HOME, ZIONVILLE, NC 28698-9759
- **Practice address phone:** (828) 350-1254
- **Mailing address:** PO BOX 338, BAPTIST CHILDREN'S HOMES OF NC, INC, THOMASVILLE, NC 27361-0338
- **Mailing address phone:** (336) 474-1260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL 095 043 | NC | Yes |

## Other

- **Enumeration date:** 08/09/2007
- **Last updated:** 08/09/2007