Organization
MY SAVIOR FAMILY CARE HOME, INC.
Active
Other names
People of Purpose
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY BARNES BOONE (OWNER)
(252) 347-4451
Entity
Organization
Contact information
Practice address
3200 BRIARCLIFF DR, GREENVILLE, NC 27834-4948
(252) 347-4451
(252) 321-4829
Mailing address
PO BOX 20702, GREENVILLE, NC 27858-0702
(252) 347-4451
(252) 321-4829
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL074154
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6604098
—
NC
Enumeration date
10/19/2007
Last updated
10/19/2007
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