Organization
BERWOOD MILLER HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BOBBY JEAN GRAVES (ADMINISTRATOR)
(336) 227-7953
Entity
Organization
Contact information
Practice address
711 ASKEW ST, BURLINGTON, NC 27215-2201
(336) 222-6007
Mailing address
603 CRESTVIEW DR, BURLINGTON, NC 27217-1710
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
MHL001-147
NC
Other
Enumeration date
06/06/2007
Last updated
08/22/2020
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