Organization
CEDAR GROVE GROUP HOMES, INC.
Active
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
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