# SOMMERVILLE GROUP SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992947154
- **Authorized official:** KENNETH ASAH FON-NDIKUM (CO-FOUNDER)
- **Authorized official phone:** (704) 219-6084

## Contact information

- **Practice address:** 1017 WOODKIRK LN, MATTHEWS, NC 28104-8053
- **Practice address phone:** (704) 219-6084
- **Mailing address:** 1017 WOODKIRK LN, MATTHEWS, NC 28104-8053
- **Mailing address phone:** (704) 219-6084

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 168913 | NC | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | 168913 | NC | — |

## Other

- **Enumeration date:** 04/01/2009
- **Last updated:** 04/01/2009