Organization
VIRPARK INC RESIDENTIAL FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA PARKER (OWNER DIRECTOR)
(336) 271-4002
Entity
Organization
Contact information
Practice address
619 CREEK RIDGE RD, GREENSBORO, NC 27406-4303
(336) 271-4002
(336) 271-3775
Mailing address
PO BOX 321, PLEASANT GARDEN, NC 27313-8232
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL-041-671
NC
385H00000X
Respite Care
Primary
MHL-041-671
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804780
—
NC
Enumeration date
01/16/2007
Last updated
09/11/2025
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