Organization
PINE FORREST FARM INC
Active
Other names
Pine Forrest Residential Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMANUEL EUGENE BONAPARTE (EXECUTIVE DIRECTOR)
(828) 615-7030
Entity
Organization
Contact information
Practice address
4190 NC HIGHWAY 801 N, MOCKSVILLE, NC 27028-6234
(336) 998-3480
(336) 998-0177
Mailing address
4190 NC HIGHWAY 801 N, MOCKSVILLE, NC 27028-6234
(336) 998-3480
(336) 998-0177
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL030028
NC
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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