Organization
MDG MANAGEMENT
Active
Organization
MDG MANAGEMENT
Active
Other names
Rebecca Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEROME RASHAWN FOX II (CEO)
(336) 294-7656
Entity
Organization
Contact information
Practice address
2322 NEWTON ST, GREENSBORO, NC 27406-5516
(336) 294-7656
(336) 294-4791
Mailing address
PO BOX 5522, GREENSBORO, NC 27435-0522
(336) 294-7656
(336) 294-4791
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
HC1601
NC
376K00000X
Nurse's Aide
HC1601
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409369
—
NC
05
—
6600548
—
NC
Enumeration date
03/26/2007
Last updated
09/11/2025
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