Organization
CALDWELL HOUSE # 1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER LEVERNE CALDWELL (OWNER)
(336) 837-7087
Entity
Organization
Contact information
Practice address
2901 HOLMES RD, GREENSBORO, NC 27405-4621
(336) 837-7087
Mailing address
2901 HOLMES RD, GREENSBORO, NC 27405-4621
(336) 837-7087
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL- 041- 823
NC
Other
Enumeration date
07/10/2007
Last updated
08/22/2020
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