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Organization
PINE FORREST FARM INC
Active
Organization
PINE FORREST FARM INC
Active
Other names
Pine Forrest Residential Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMANUEL EUGENE BONAPARTE (EXECUTIVE DIRECTOR)
(828) 615-7030
Entity
Organization
Contact information
Practice address
4190 NC HIGHWAY 801 N, MOCKSVILLE, NC 27028-6234
(336) 998-3480
(336) 998-0177
Mailing address
4190 NC HIGHWAY 801 N, MOCKSVILLE, NC 27028-6234
(336) 998-3480
(336) 998-0177
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL030028
NC
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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