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Organization

CAPE FEAR GROUP HOMES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EDWARD M WALSH (EXECUTIVE DIRECTOR)
(910) 251-2555
Entity
Organization

Contact information

Practice address
1519 ROBERT E LEE DR, WILMINGTON, NC 28412-7180
(910) 251-2555
(910) 251-0590
Mailing address
PO BOX 4203, WILMINGTON, NC 28406-1203
(910) 251-2555
(910) 251-0590

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
340602A
NC
05
340602N
NC
Enumeration date
10/19/2006
Last updated
03/04/2021
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