Grandma's House of Mebane LLC
NPI #1518108687 in Mebane, North Carolina
Provider Information
- NPI Number
- 1518108687
- Entity Type
- Organization
- Organization Name
- Grandma's House of Mebane LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Mar 18, 2009
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 421 LANCASTER RD
- City
- Mebane
- State
- North Carolina
- ZIP Code
- 27302-7568
- Phone
- (336) 350-3557
Authorized Official
- Name
- MRS. LINA JOHNSON
- Title
- OWNER
- Phone
- (336) 350-3557
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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