Organization
BAPTIST CHILDRENS HOMES OF NC INC
Active
Parent organization
BAPTIST CHILDRENS HOMES OF NC INC
Other names
Three Forks Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAPTIST CHILDRENS HOMES OF NC INC
Authorized official
MS. F. JANE MCMILLAN (DIRECTOR DEVELOPMENTAL DISABILITIES)
(336) 474-1260
Entity
Organization
Contact information
Practice address
392 CAMP JOY RD, ZIONVILLE, NC 28698-9759
(828) 297-8001
Mailing address
PO BOX 338, THOMASVILLE, NC 27361-0338
(336) 474-1272
(336) 474-2346
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL095043
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MHL095043
LICENSE NUMBER
NC
Enumeration date
05/03/2007
Last updated
07/10/2008
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