Organization
CANDII HOMES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSALINA TEEL MHL082056 (PROVIDER)
(910) 592-7451
Entity
Organization
Contact information
Practice address
100 WARSAW ROAD, CLINTON, NC 28328-3518
(910) 592-7451
(910) 221-5479
Mailing address
100 WARSAW ROAD, CLINTON, NC 28328-3518
(910) 592-7451
(910) 221-5479
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
MHL-082-056
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-082056
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805715
—
NC
05
—
8301828
—
NC
Enumeration date
07/25/2007
Last updated
09/09/2008
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