Organization
DONTAES HOUSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH ALBERTA BLAKELY (AGENCY DIRECTOR)
(252) 531-7725
Entity
Organization
Contact information
Practice address
367 BRANCHWOOD DR, WINTERVILLE, NC 28590-8693
(252) 531-7725
Mailing address
367 BRANCHWOOD DR, WINTERVILLE, NC 28590-8693
(252) 531-7725
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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