Davie County Group Home, Inc.
NPI #1194807552 in Mocksville, North Carolina
Provider Information
- NPI Number
- 1194807552
- Entity Type
- Organization
- Organization Name
- Davie County Group Home, Inc.
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Oct 19, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 785 SANFORD AVE
- City
- Mocksville
- State
- North Carolina
- ZIP Code
- 27028-9700
- Phone
- (336) 751-5014
Authorized Official
- Name
- JUDY P. ROSSER
- Title
- EXECUTIVE DIRECTOR
- Phone
- (336) 751-5014
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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