Organization
SYLVANGLADE HOME, INC.
Active
Other names
Donnell Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HATTIE CHEEKS GRAVES (CEO)
(336) 621-8119
Entity
Organization
Contact information
Practice address
4915 SYLVANGLADE RD, MC LEANSVILLE, NC 27301-9753
(336) 358-2156
Mailing address
4915 SYLVANGLADE RD, MC LEANSVILLE, NC 27301-9753
(336) 358-2156
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL041572
NC
Other
Enumeration date
06/19/2007
Last updated
08/29/2011
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