Sylvanglade Home, Inc.
NPI #1629273610 in Mc Leansville, North Carolina
Provider Information
- NPI Number
- 1629273610
- Entity Type
- Organization
- Organization Name
- Sylvanglade Home, Inc.
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jun 19, 2007
- Last Updated
- Aug 29, 2011
Practice Location
- Address
- 4915 SYLVANGLADE RD
- City
- Mc Leansville
- State
- North Carolina
- ZIP Code
- 27301-9753
- Phone
- (336) 358-2156
Authorized Official
- Name
- MRS. HATTIE CHEEKS GRAVES
- Title
- CEO
- Phone
- (336) 621-8119
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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