Organization
SAMMONS GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES HOWARD SAMMONS SR. (OWNER)
(919) 217-0112
Entity
Organization
Contact information
Practice address
3129 TARHEEL CLUBHOUSE RD, RALEIGH, NC 27604-9675
(919) 217-0112
(919) 217-3962
Mailing address
3129 TARHEEL CLUBHOUSE RD, RALEIGH, NC 27604-9675
(919) 217-0112
(919) 217-3962
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL-092-470
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804437
—
NC
Enumeration date
07/23/2008
Last updated
07/23/2008
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