Organization
AMAT GROUP HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IBILOLA ARIDEGBE (PRESIDENT)
(910) 922-9583
Entity
Organization
Contact information
Practice address
906 E PROSPECT AVE, RAEFORD, NC 28376-2328
(910) 595-2910
Mailing address
5515 PLAIN VIEW HWY, DUNN, NC 28334-6843
(910) 922-9583
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
311ZA0620X
Adult Care Home Facility
MHL-047-160
NC
Other
Enumeration date
01/04/2016
Last updated
02/21/2017
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