Individual
BOBBY MCRAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
299 THOMASVILLE CH.RD., MT GILEAD, NC 27306
(704) 961-6797
Mailing address
PO BOX 2542, ALBEMARLE, NC 28002-2542
(704) 961-6797
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
320600000
—
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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