Organization
G & D RESIDENTIAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEOVON KENANE MARTIN B.S. (CEO/DIRECTOR)
(336) 254-6770
Entity
Organization
Contact information
Practice address
620 GUILFORD COLLEGE RD STE G, GREENSBORO, NC 27409-2027
(336) 254-6770
Mailing address
620 GUILFORD COLLEGE RD STE G, GREENSBORO, NC 27409-2027
(336) 254-6770
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
MHL-041-764
NC
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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