Organization
ED-CORE, INC
Active
Other names
Triad Homes-NC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA BOWMAN HOPSON ED.D (EXECUTIVE DIRECTOR)
(336) 995-1442
Entity
Organization
Contact information
Practice address
5016 SUNNY LN, WALKERTOWN, NC 27051-9712
(336) 995-1442
(336) 744-5671
Mailing address
5016 SUNNY LN, P.O. BOX 130, WALKERTOWN, NC 27051-9712
(336) 995-1442
(336) 744-5671
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-034-169
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603677
—
NC
Enumeration date
03/09/2007
Last updated
12/20/2012
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