Organization
THREE FORKS HOME
Active
Other names
Baptist Children's Homes of NC, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. C. F. MCDOWELL III (EXECUTIVE VICE PRESIDENT)
(336) 474-1260
Entity
Organization
Contact information
Practice address
392 CAMP JOY ROAD, THREE FORKS HOME, ZIONVILLE, NC 28698-9759
(828) 350-1254
Mailing address
PO BOX 338, BAPTIST CHILDREN'S HOMES OF NC, INC, THOMASVILLE, NC 27361-0338
(336) 474-1260
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL 095 043
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MHL 095-043
STATE LICENSE NUMBER
NC
Enumeration date
08/09/2007
Last updated
08/09/2007
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