Organization
SELECT CARE HOME INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARRON BRADSHAW (DIRECTOR)
(919) 702-2870
Entity
Organization
Contact information
Practice address
233 GHOLSON AVE, HENDERSON, NC 27536-4547
(252) 433-8200
Mailing address
PO BOX 456, HENDERSON, NC 27536-0456
(252) 433-8200
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL091068
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603785
—
NC
Enumeration date
04/04/2007
Last updated
12/10/2007
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