Organization
MCDANIEL HOMES,LLC
Active
Organization
MCDANIEL HOMES,LLC
Active
Other names
McDaniel Home # 1, # 2, # 3
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PEGGY DAVIS- MCDANIEL (DIRECTOR)
(336) 599-5473
Entity
Organization
Contact information
Practice address
192 COUNTRY CLUB RD # 27574, 4694 CHUB LAKE RD, ROXBORO, NC 27574-7448
(336) 599-5473
(336) 599-8186
Mailing address
192 COUNTRY CLUB RD # 27574, P O BOX 1636 27573, ROXBORO, NC 27574-7448
(336) 599-5473
(336) 599-8186
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
311ZA0620X
Adult Care Home Facility
MHL 073-061
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL-073-061
NC
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
06/20/2013
Last updated
12/12/2019
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