Organization
ADULT DAY & RESPITE CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOANNE CAGLE MSW (EXECUTIVE DIRECTOR)
(336) 852-8338
Entity
Organization
Contact information
Practice address
3107 GROOMETOWN RD, 5026- F HILLTOP RD, GREENSBORO, NC 27407-5518
(336) 852-8338
(336) 852-8333
Mailing address
3107 GROOMETOWN RD, N-A, GREENSBORO, NC 27407-5518
(336) 852-8338
(336) 852-8333
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
3409220
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409220
—
NC
Enumeration date
06/29/2007
Last updated
07/16/2007
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