Organization
MCDANIEL HOMES,LLC
Active
Other names
McDaniel Home # 1, # 2, and # 3
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY DAVIS- MCDANIEL (DIRECTOR)
(336) 599-1073
Entity
Organization
Contact information
Practice address
56 MAGGIE LN, ROXBORO, NC 27573-4189
(336) 599-9171
Mailing address
PO BOX 1636, ROXBORO, NC 27573-1636
(336) 504-1461
(336) 599-8186
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
311ZA0620X
Adult Care Home Facility
MHL-073-047
NC
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
MHL-073-041
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
MHL-073-047
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
MHL-073-061
NC
Other
Enumeration date
06/11/2008
Last updated
05/20/2023
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