Heavenlygates, Inc.
NPI #1013152578 in Greensboro, North Carolina
Provider Information
- NPI Number
- 1013152578
- Entity Type
- Organization
- Organization Name
- Heavenlygates, Inc.
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Dec 11, 2008
- Last Updated
- Dec 11, 2008
Practice Location
- Address
- 1407 DUNBAR ST
- City
- Greensboro
- State
- North Carolina
- ZIP Code
- 27401-3801
- Phone
- (336) 617-3036
Authorized Official
- Name
- TARSHA VIOLET HOWARD, L.P.N.
- Title
- DIRECTOR
- Phone
- (336) 254-3137
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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