Organization
UNIVERSAL GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA JEAN WATERS (OWNER)
(919) 922-4366
Entity
Organization
Contact information
Practice address
2030 AZALEA DR, GOLDSBORO, NC 27530-1208
(919) 922-4366
Mailing address
2030 AZALEA DR, GOLDSBORO, NC 27530-1208
(919) 922-4366
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
MHL096197
NC
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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