Organization
ENOCH GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GARNETTA ENOCH MOORE (DIRECTOR)
(336) 506-6641
Entity
Organization
Contact information
Practice address
433 N LOGAN ST, BURLINGTON, NC 27217-2339
(336) 506-6641
(336) 226-7405
Mailing address
PO BOX 3062, BURLINGTON, NC 27215-0062
(336) 506-6641
(336) 226-7405
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
MHL-001-207
NC
Other
Enumeration date
01/19/2011
Last updated
01/19/2011
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