Organization
TIMOTHY DEANS HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
F. DEAN VANDYKE (DIRECTOR)
(252) 541-1556
Entity
Organization
Contact information
Practice address
337 RAPIDS ST, ROANOKE RAPIDS, NC 27870-1520
(252) 541-1556
(252) 541-1570
Mailing address
337 RAPIDS ST, ROANOKE RAPIDS, NC 27870-1520
(252) 541-1556
(252) 541-1570
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL042063
NC
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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