Organization
ES HOUSE INC
Active
Parent organization
242040229
Organization subpart
Yes
Provider details
NPI number
Legal business name
242040229
Authorized official
ALFREDA ROBINSON (PRESIDENT)
(336) 328-4890
Entity
Organization
Contact information
Practice address
612 E PRESNELL ST, ASHEBORO, NC 27203-4817
(336) 328-4890
Mailing address
PO BOX 1693, SANFORD, NC 27331-1693
(336) 328-4890
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
MHL-076-114
NC
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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