Organization
AT HOME CARE SWEETMORE DRIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BLAND GARDNER SR. (FACILITY DIRECTOR)
(804) 520-7108
Entity
Organization
Contact information
Practice address
6067 SWEETMORE DR, AYDEN, NC 28513-8301
(252) 746-8800
Mailing address
6067 SWEETMORE DR, AYDEN, NC 28513-8301
(252) 746-8800
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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