Organization
WEST HILLCREST DDA GROUP HOME,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTHER RICHARDS (DIRECTOR)
(336) 227-3845
Entity
Organization
Contact information
Practice address
925 S CHURCH ST, BURLINGTON, NC 27215-3845
(336) 227-3845
(336) 227-3845
Mailing address
925 S CHURCH ST, BURLINGTON, NC 27215-3845
(336) 227-3845
(336) 227-3845
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
12/28/2023
Last updated
10/13/2024
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