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Organization

GERRY'S LOVING HANDS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DALLAS L. SHACKLEFORD (OWNER)
(252) 753-2912
Entity
Organization

Contact information

Practice address
1432 VANDIFORD THOMAS RD, SNOW HILL, NC 28580-7468
(252) 753-2912
(252) 753-2912
Mailing address
1432 VANDIFORD THOMAS RD, SNOW HILL, NC 28580-7468
(252) 753-2912
(252) 753-2912

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-040-037
NC

Other

Enumeration date
04/16/2007
Last updated
06/14/2008
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