Organization
VINEYARD HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT EARL GRANT JR. B.S. (PRESIDENT - OWNER)
(919) 751-0503
Entity
Organization
Contact information
Practice address
2704 WARRICK CIR, GOLDSBORO, NC 27534-7658
(919) 778-3412
(919) 778-3412
Mailing address
2704 WARRICK CIR, GOLDSBORO, NC 27534-7658
(919) 778-3412
(919) 778-3412
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-096-133
NC
Other
Enumeration date
02/15/2007
Last updated
08/22/2020
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