Organization
MADIP HOMES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH SCOTT DAVIS ED.D (PRESIDENT/OWNER)
(252) 315-6286
Entity
Organization
Contact information
Practice address
3410 QUEENSFERRY DR NW, WILSON, NC 27896-1492
(252) 237-1255
Mailing address
5713 VALLEY DALE RD, WILSON, NC 27893-9382
(252) 238-6586
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-098-124
NC
Other
Enumeration date
05/12/2008
Last updated
05/12/2008
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