Organization
SHEILA CHILDERS SMITH
Active
Other names
West Hillcrest DDA Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEILA C SMITH (OWNER/OPERATOR)
(336) 227-3845
Entity
Organization
Contact information
Practice address
925 S CHURCH ST, BURLINGTON, NC 27215-3845
(336) 227-3845
(336) 227-3845
Mailing address
925 S CHURCH ST, BURLINGTON, NC 27215-3845
(336) 227-3845
(336) 227-3845
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-001-081
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805297
—
NC
Enumeration date
03/27/2007
Last updated
07/15/2008
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