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Organization
VIRINGIA'S GROUP HOME
Active
Organization
VIRINGIA'S GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEMIKA VERBAL (DIRECTOR)
(910) 986-0475
Entity
Organization
Contact information
Practice address
7105 NC HWY 210 S, AUTRYVILLE, NC 28318-7683
(910) 986-0475
Mailing address
28680 N TURNPIKE RD, WAGRAM, NC 28396-9032
(910) 986-0475
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
320800000X
Mental Illness Community Based Residential Treatment Facility
—
NULL
Other
Enumeration date
12/02/2022
Last updated
01/10/2023
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