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Organization

HINDS FEET FARM, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BETH C. CALLAHAN (EXECUTIVE DIRECTOR)
(704) 992-1424
Entity
Organization

Contact information

Practice address
14645 BLACK FARMS RD., HUNTERSVILLE, NC 28078
(704) 944-1424
(704) 992-1423
Mailing address
P.O. BOX 2842, HUNTERSVILLE, NC 28070
(704) 944-1424
(704) 992-1423

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL-060-1257
NC

Other

Enumeration date
10/30/2013
Last updated
12/04/2024
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