Organization
G & D RESIDENTIAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEOVON KENANE MARTIN (CEO DIRECTOR)
(336) 254-6770
Entity
Organization
Contact information
Practice address
620 GUILFORD COLLEGE RD STE G, GREENSBORO, NC 27409-2027
(336) 254-6770
(336) 292-1589
Mailing address
620 GUILFORD COLLEGE RD STE G, GREENSBORO, NC 27409-2027
(336) 254-6770
(336) 292-1589
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-041-764
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300792B
—
NC
Enumeration date
06/21/2007
Last updated
06/01/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us