Organization
CAPE FEAR GROUP HOMES, INC.
Active
Parent organization
CAPE FEAR GROUP HOMES, INC.
Other names
Wilmington Home Group Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAPE FEAR GROUP HOMES, INC.
Authorized official
EDWARD MARTIN WALSH (EXECUTIVE DIRECTOR)
(336) 207-1545
Entity
Organization
Contact information
Practice address
28 BEAUREGARD DR, WILMINGTON, NC 28412-6702
(910) 251-2555
(910) 251-0590
Mailing address
PO BOX 4203, WILMINGTON, NC 28406-1203
(910) 251-2555
(910) 251-0590
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/19/2021
Last updated
06/03/2021
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