Organization
TRACEY L JOHNSON
Active
Other names
Hampton Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TRACEY L JOHNSON (OWNEROPERATOR)
(336) 323-2718
Entity
Organization
Contact information
Practice address
115 THORNTON CT, GREENSBORO, NC 27407-1429
(336) 323-2718
Mailing address
115 THORNTON CT, GREENSBORO, NC 27407-1429
(336) 323-2718
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
041771
NC
Other
Enumeration date
03/28/2007
Last updated
07/24/2020
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