Organization
OUR HOME AT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CEARIRA S COWAN (ORGANIZER)
(980) 925-3476
Entity
Organization
Contact information
Practice address
316 BLACK ROCK SCHOOL RD, CHERRYVILLE, NC 28021-9544
(980) 924-3476
Mailing address
PO BOX 37, CHERRYVILLE, NC 28021-0037
(980) 925-3476
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/09/2020
Last updated
04/23/2026
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