Organization
ALLEGHANY COUNTY GROUP HOMES, INC
Active
Other names
CAP Services
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA J MILLER QP (EXECUTIVE DIRECTOR)
(336) 372-5671
Entity
Organization
Contact information
Practice address
133 HEALTH SERVICES ROAD, SPARTA, NC 28675
(336) 372-5671
(336) 372-5672
Mailing address
PO BOX 488, SPARTA, NC 28675-0488
(336) 372-5671
(336) 372-5672
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
MHL003002
NC
251S00000X
Community/Behavioral Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409350
—
NC
Enumeration date
08/02/2006
Last updated
06/05/2020
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