Organization
SYLVANGLADE HOME, INC.
Active
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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