Organization
GRANVILLE COUNTY GROUP HOMES, INC.
Active
Organization
GRANVILLE COUNTY GROUP HOMES, INC.
Active
Other names
Granville ICF group Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SKIP SKINNER (DIRECTOR)
(252) 438-6700
Entity
Organization
Contact information
Practice address
5509 DORSEY RD, OXFORD, NC 27565-8309
(919) 528-4610
Mailing address
5509 DORSEY RD, OXFORD, NC 27565-8309
(919) 528-4610
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL039002
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3406229
—
NC
Enumeration date
06/07/2007
Last updated
08/22/2020
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