Organization
EMMANUEL MINISTRIES INTERNATIONAL, INC.
Active
Other names
Homes of Emmanuel
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN JEAN FERNANDEZ MS, MT(ASCP)SH (EXECUTIVE DIRECTOR)
(336) 617-6510
Entity
Organization
Contact information
Practice address
1005 BRUSHY FORK DR, GREENSBORO, NC 27406-8061
(336) 617-6510
(336) 617-6510
Mailing address
PO BOX 1713, JAMESTOWN, NC 27282-1713
(336) 617-6510
(336) 617-6510
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL041913
NC
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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