Organization
CAROLINA THERAPEUTIC CHILDREN AND FAMILY SERVICES, INC
Active
Organization
CAROLINA THERAPEUTIC CHILDREN AND FAMILY SERVICES, INC
Active
Other names
Wicker Street Group nHome
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EVERETT JONES (CEO)
(336) 684-5005
Entity
Organization
Contact information
Practice address
809 WICKER ST, 809 WICKER STREET, BURLINGTON, NC 27217-2362
(336) 684-5005
(336) 226-3727
Mailing address
809 WICKER ST, 809 WICKER STREET, BURLINGTON, NC 27217-2362
(336) 684-5005
(336) 226-3727
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
MHL-001-202
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FACILITY ID 930773
DEPARTMENT OF HEALTH AND HUMAN SERVICES
NC
Enumeration date
10/15/2010
Last updated
10/15/2010
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