Organization
ALLEGHANY COUNTY GROUP HOMES, INC
Active
Parent organization
ALLEGHANY COUNTY GROUP HOMES, INC
Other names
Samual C. Evans Jr Group Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALLEGHANY COUNTY GROUP HOMES, INC
Authorized official
MS. DARLENE DOUGLAS MS (EXECUTIVE DIRECTOR)
(336) 372-5671
Entity
Organization
Contact information
Practice address
53 ESTEP STREET, SPARTA, NC 28675
(336) 372-5671
(336) 372-5672
Mailing address
53 ESTEP STREET, SPARTA, NC 28675
(336) 372-5671
(336) 372-5672
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
MHL003007
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801839
—
NC
Enumeration date
08/03/2006
Last updated
06/17/2020
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