Organization
COMMUNITY HOUSING GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON L LYNCH (FINANCIAL MANAGER)
(828) 695-5900
Entity
Organization
Contact information
Practice address
1018 5TH ST SE, HICKORY, NC 28602
(828) 695-5900
(828) 695-4256
Mailing address
3050 11TH AVENUE DR SE, HICKORY, NC 28602-8336
(828) 695-5900
(828) 695-4256
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805708
—
NC
Enumeration date
03/19/2007
Last updated
05/15/2018
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