Organization
CANDII HOMES
Active
Other names
Candii Homes
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSALINA TEEL MHL-082-056 (PROVIDER/ADMINISTRATOR)
(910) 627-4796
Entity
Organization
Contact information
Practice address
513 RALEIGH RD, SUITE D, 404 EAST POWELL ST, CLINTON, NC 28328
(910) 260-4195
(910) 260-4195
Mailing address
404 EAST POWELL ST, CLINTON, NC 28328-3518
(910) 627-4796
(910) 260-4195
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-085-056
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL-082-056
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805715
—
NC
05
—
8301828
—
NC
Enumeration date
12/29/2006
Last updated
02/20/2024
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