Organization
ENOCH GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN D ENOCH SIC (SUPERVISOR IN CHARGE)
(336) 539-3339
Entity
Organization
Contact information
Practice address
2310 HYDE ST, BURLINGTON, NC 27217-3073
(336) 539-3339
Mailing address
PO BOX 3624, BURLINGTON, NC 27215-0624
(336) 438-1400
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
MHL001-207
NC
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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