Organization
BLESSED ALMS II LLC
Active
Organization
BLESSED ALMS II LLC
Active
Other names
Blessed Alms II
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOBBY LOUIS CUNNINGHAM DIRECTOR/QMHP (OWNER)
(336) 734-3824
Entity
Organization
Contact information
Practice address
3909 BEARS CREEK RD, GREENSBORO, NC 27406-5149
(336) 379-1314
(336) 379-1392
Mailing address
PO BOX 16527, GREENSBORO, NC 27416-0527
(336) 379-1314
(336) 379-1392
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL-041-1083
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL-041-691
NC
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603958
—
NC
Enumeration date
04/02/2007
Last updated
01/24/2017
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