Organization
NAZARETH CHILDREN'S HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VERNON L WALTERS JR. (PRESIDENT)
(704) 279-5556
Entity
Organization
Contact information
Practice address
725 CRESCENT RD, ROCKWELL, NC 28138-7515
(704) 279-5556
(704) 279-5439
Mailing address
PO BOX 1438, ROCKWELL, NC 28138-1438
(704) 279-5556
(704) 279-5439
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
BOO117
NC
Other
Enumeration date
04/04/2007
Last updated
06/26/2008
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