Organization
TRIAD ADULT DAY CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LASONYA VANEATON QP (DIRECTOR)
(336) 431-1537
Entity
Organization
Contact information
Practice address
409 E FAIRFIELD RD, SUITE A, HIGH POINT, NC 27263-2281
(336) 431-1537
(336) 431-8128
Mailing address
409 E FAIRFIELD RD, SUITE A, HIGH POINT, NC 27263-2281
(336) 431-1537
(336) 431-8128
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
MHL-041-1084
NC
251S00000X
Community/Behavioral Health Agency
MHL-041-1084
NC
261QA0600X
Adult Day Care Clinic/Center
MHL-041-1084
NC
261QD1600X
Developmental Disabilities Clinic/Center
MHL-041-1084
NC
3104A0625X
Assisted Living Facility (Mental Illness)
MHL-041-987
NC
311ZA0620X
Adult Care Home Facility
MHL-041-987
NC
320800000X
Mental Illness Community Based Residential Treatment Facility
MHL-041-987
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
MHL-041-813
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408665
—
NC
Enumeration date
03/06/2007
Last updated
12/08/2015
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