Organization
NAOMI'S GROUP HOMES
Active
Other names
Brownstone
Organization subpart
No
Provider details
NPI number
Authorized official
NAOMI WILLIAMS (ADMINISTRATOR)
(910) 822-4736
Entity
Organization
Contact information
Practice address
1836 CONOVER DR, FAYETTEVILLE, NC 28304-4562
(910) 424-6071
Mailing address
PO BOX 478, FAYETTEVILLE, NC 28302-0478
(910) 424-6071
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL 026 649
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL 026 651
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL 026 652
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL 026 664
NC
Other
Enumeration date
03/10/2007
Last updated
08/22/2020
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