Organization
SPECIALIZED HOME CARE REDEVELOPMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD SWEENEY (ADMINISTRATOR)
(336) 697-5896
Entity
Organization
Contact information
Practice address
1501 FRIENDLY CHAPEL RD, GREENSBORO, NC 27406-9044
(336) 697-5896
Mailing address
1501 FRIENDLY CHAPEL RD, GREENSBORO, NC 27406-9044
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL041806
NC
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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