Organization
GRANDMAZ RESIDENTIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY MEADOWS (CEO)
(919) 607-2041
Entity
Organization
Contact information
Practice address
101 VALLEY PARK DR, KNIGHTDALE, NC 27545-7912
(919) 607-2041
Mailing address
101 VALLEY PARK DR, KNIGHTDALE, NC 27545-7912
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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