Organization
THE ROSSBERRY HOME OF FAIRMONT, INC
Active
Other names
Straight Ahead Community Support
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA J. ROSS RN (EXECUTIVE DIRECTOR)
(704) 933-3314
Entity
Organization
Contact information
Practice address
802 N PINE ST, LUMBERTON, NC 28358-4824
(910) 608-3566
(910) 608-3590
Mailing address
950 LANE ST, KANNAPOLIS, NC 28083-3748
(704) 933-3314
(704) 933-3320
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300708
—
NC
Enumeration date
02/06/2007
Last updated
08/22/2020
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