Organization
TULIPTREE GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LARAE VERNITA POTTER AFL PROVIDER (PROVIDER)
(336) 221-6357
Entity
Organization
Contact information
Practice address
4702 TULIPTREE DR, GREENSBORO, NC 27455-3402
(336) 285-5945
Mailing address
4702 TULIPTREE DR, GREENSBORO, NC 27455-3402
(336) 285-5945
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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