Organization
THE BAKERS HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TABETHA TENIKA BAKER (EXECUTIVE DIRECTOR)
(336) 274-6874
Entity
Organization
Contact information
Practice address
1004 RICHARDSON ST, GREENSBORO, NC 27403-2951
(336) 274-6874
Mailing address
1004 RICHARDSON ST, GREENSBORO, NC 27403-2951
(336) 274-6874
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
MHL-041-744
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041-744
MHL-LICENSE NUMBER
NC
05
—
7805161
—
NC
05
—
8301455
—
NC
Enumeration date
01/25/2007
Last updated
08/22/2020
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