Organization
CEDAR GROVE GROUP HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WANDA WILLIAMS JONES MHSA (DIRECTOR)
(919) 738-1765
Entity
Organization
Contact information
Practice address
140 COUNTRY RUN LN, GOLDSBORO, NC 27530-8901
(919) 738-1765
(919) 751-0089
Mailing address
PO BOX 1343, GOLDSBORO, NC 27533-1343
(919) 738-1765
(919) 751-0089
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
8300945
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418140
—
NC
05
—
7804842
—
NC
05
—
7805605
—
NC
05
—
8300945
—
NC
Enumeration date
01/25/2007
Last updated
08/22/2020
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