Organization
SHFP INC
Active
Other names
Servant's Heart
Organization subpart
No
Provider details
NPI number
Authorized official
GINA TANNER (DIRECTOR, QP)
(336) 286-6400
Entity
Organization
Contact information
Practice address
3706 OLD BATTLEGROUND RD, GREENSBORO, NC 27410
(336) 286-6400
(336) 739-4166
Mailing address
3706 OLD BATTLEGROUND RD, GREENSBORO, NC 27410
(336) 286-6400
(336) 739-4166
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
MHL-041-654
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL-041-773
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408847
—
NC
Enumeration date
12/08/2006
Last updated
05/25/2021
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