Organization
MITCHELL COUNTY GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECELIA GREEN (EXECUTIVE DIRECTOR)
(828) 688-2521
Entity
Organization
Contact information
Practice address
86 RICHMOND RD, BAKERSVILLE, NC 28705-9460
(828) 688-2521
(828) 688-2521
Mailing address
86 RICHMOND RD, BAKERSVILLE, NC 28705-9460
(828) 688-2521
(828) 688-2521
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-061-008
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804609
—
NC
Enumeration date
03/17/2008
Last updated
03/17/2008
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