Organization
WHIPPLE'S GROUP HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WANDA YVETTE WHIPPLE RN (OWNER/DIRECTOR)
(704) 575-1749
Entity
Organization
Contact information
Practice address
3134 PERIWINKLE CT, CHARLOTTE, NC 28269-3077
(704) 598-5051
(866) 861-2334
Mailing address
3134 PERIWINKLE CT, CHARLOTTE, NC 28269-3077
(704) 598-5051
(866) 861-2334
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-060-1040
NC
Other
Enumeration date
11/13/2007
Last updated
02/13/2008
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