Organization
BEAUTIFUL BEGINNINGS SERVICES. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHON DIONTE WILKERSON (OWNER)
(336) 470-1712
Entity
Organization
Contact information
Practice address
3205 STONYPOINTE DR, GREENSBORO, NC 27406-5421
(336) 470-1712
Mailing address
3205 STONYPOINTE DR, GREENSBORO, NC 27406-5421
(336) 470-1712
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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