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Intellectual Disabilities Intermediate Care Facility
NPI: 1619264066Organization
Specialties, Licenses & Credentials
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Code: 320600000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Code: 320900000X
Intermediate Care Facility, Intellectual Disabilities
Code: 315P00000X
MHL-041-1018(NC)
Contact & Hours
- Address
- 301 SOUTHRIDGE RD
JAMESTOWN, NC 27282 - Phone
- (336) 883-0650
Quick Facts
- NPI
- 1619264066
- Entity Type
- Organization
- Medicare
- Not confirmed
- Specialties
- 5
- Locations
- 1
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