Mutty Group Home
NPI #1477334316 in Lexington, North Carolina
Provider Information
- NPI Number
- 1477334316
- Entity Type
- Organization
- Organization Name
- Mutty Group Home
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Oct 6, 2023
- Last Updated
- Oct 6, 2023
Practice Location
- Address
- 254 ASHFIELD LN
- City
- Lexington
- State
- North Carolina
- ZIP Code
- 27292-8348
- Phone
- (860) 986-0003
Authorized Official
- Name
- MUTIAT B BAMGBALA
- Title
- OWNER
- Phone
- (860) 986-0003
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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