Organization
GRANDMA'S HOUSE OF MEBANE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINA JOHNSON (OWNER)
(336) 350-3557
Entity
Organization
Contact information
Practice address
421 LANCASTER RD, MEBANE, NC 27302-7568
(336) 350-3557
Mailing address
421 LANCASTER RD, MEBANE, NC 27302-7568
(336) 350-3557
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
NC
Other
Enumeration date
03/18/2009
Last updated
07/21/2022
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