Organization
LAMONTE D. DUNLAP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAMONTE DEWAYNE DUNLAP (OWNER)
(336) 587-1678
Entity
Organization
Contact information
Practice address
2013 GRAMERCY PARK DR, GREENSBORO, NC 27406-8566
(336) 587-1678
Mailing address
2013 GRAMERCY PARK DR, GREENSBORO, NC 27406-8566
(336) 587-1678
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NC
Other
Enumeration date
02/20/2008
Last updated
06/13/2008
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