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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