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Organization
MAG'S HOUSE
Active
Organization
MAG'S HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYDNEY L BAKER (OWNER)
(336) 558-8628
Entity
Organization
Contact information
Practice address
7638 JACKSON SCHOOL RD # A, BROWNS SUMMIT, NC 27214-9706
(336) 656-5336
(336) 643-9189
Mailing address
5214 BUNCH RD, SUMMERFIELD, NC 27358-9138
(336) 656-5336
(336) 643-9189
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-041-802
NC
Other
Enumeration date
02/11/2007
Last updated
08/22/2020
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