Organization
CHISHOLM HOMES
Active
Other names
Chisholm Homes # II
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY S CHISHOLM (DIRECTOR)
(336) 887-2402
Entity
Organization
Contact information
Practice address
305 NEWVIEW RD, HIGH POINT, NC 27260-4329
(336) 454-0277
(336) 887-2403
Mailing address
431 N SCIENTIFIC ST, HIGH POINT, NC 27260-4337
(336) 887-2402
(336) 887-2403
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL-041-605
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804526
—
NC
Enumeration date
01/29/2007
Last updated
08/22/2020
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