Daystar Residential Group Home INC

NPI #1811163017 in Rocky Mount, North Carolina

Provider Information

NPI Number
1811163017
Entity Type
Organization
Organization Name
Daystar Residential Group Home INC
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
May 7, 2008
Last Updated
May 7, 2008

Practice Location

Address
418 MAGNOLIA DR
ZIP Code
27801-5843
Phone
(252) 977-1210

Authorized Official

Name
MRS. DENISE DAVIS
Title
OWNER/ OPERATOR
Phone
(252) 977-1210

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Emotionally Disturbed Children

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