Organization
DESTINATION HOPE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL MONIQUE SABLON BA, MA (FACILITY DIRECTOR)
(252) 325-4673
Entity
Organization
Contact information
Practice address
322 CEDAR LANDING RD, WINDSOR, NC 27983-9012
(917) 771-9673
Mailing address
PO BOX 231, WINDSOR, NC 27983-0231
(917) 771-9673
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
008-036
NC
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
05/13/2007
Last updated
08/30/2007
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