Organization
GROMEDS TO GO TRANSPORTATION INC
Active
Other names
GroMeds Cares Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL DENISE MCCLELLAN (OWNER/CEO)
(336) 582-6854
Entity
Organization
Contact information
Practice address
5535 HIGHLAND TRACE CT, WINSTON SALEM, NC 27105-1760
(336) 582-6854
Mailing address
5535 HIGHLAND TRACE CT, WINSTON SALEM, NC 27105-1760
(336) 582-6854
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/01/2020
Last updated
01/10/2023
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