Providence Facilities
NPI #1548694730 in Mount Gilead, North Carolina
Provider Information
- NPI Number
- 1548694730
- Entity Type
- Organization
- Organization Name
- Providence Facilities
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Aug 24, 2013
- Last Updated
- Aug 24, 2013
Practice Location
- Address
- 299 THOMASVILLE CHURCH RD
- City
- Mount Gilead
- State
- North Carolina
- ZIP Code
- 27306-9446
- Phone
- (704) 983-1247
Authorized Official
- Name
- MR. BOBBY K MCRAE
- Title
- CEO/OWNER
- Phone
- (704) 983-1247
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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