Organization
TOMLIN CREEK RIDGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELRETHA PERKINS (OWNER)
(336) 612-2244
Entity
Organization
Contact information
Practice address
135 TOMLIN CREEK LN, STONEVILLE, NC 27048-7667
(336) 612-2244
Mailing address
PO BOX 163, EDEN, NC 27289-0163
(336) 612-2244
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-079-101
NC
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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