Organization
SYLVANGLADE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRILL KAYE DAVIS (DIRECTOR)
(336) 218-1176
Entity
Organization
Contact information
Practice address
2300 WEST MEADOWVIEW ROAD, 218,220,222,224, GREENSBORO, NC 27407-3711
(336) 450-7215
(336) 450-2007
Mailing address
2300 WEST MEADOWVIEW ROAD, 218,220,222,224, GREENSBORO, NC 27407-3711
(336) 450-7215
(336) 676-4757
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL041929
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409577
—
NC
Enumeration date
08/30/2011
Last updated
02/14/2022
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