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Organization

MCAULEY CIRCLE

Active
Other names
Holy Angels Services Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. REGINA P. MOODY M.ED (PRESIDENT/CEO)
(704) 825-4161
Entity
Organization

Contact information

Practice address
6600 W WILKINSON BLVD, BELMONT, NC 28012-2796
(704) 825-4161
Mailing address
6600 W WILKINSON BLVD, BELMONT, NC 28012-2796
(704) 825-4161
(704) 825-0401

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
036-037
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-036-037
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
MHL 036-012
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
MHL-036-037
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
340602W
NC
05
3408854
NC
Enumeration date
11/02/2006
Last updated
03/17/2018
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