THE BAKERS HOUSE
Adult Care Home
Greensboro, North Carolina
Provider NPI: 1417002684
Organization Information:Organization Name: THE BAKERS HOUSE
Practice Location:
1004 RICHARDSON ST GREENSBORO, NC 27403 US
Tel: 336-274-6874 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1004 RICHARDSON ST GREENSBORO, NC 27403 US
Tel: 336-274-6874 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | NC | MHL-041-744 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
8301455 | NC | 05 | |
7805161 | NC | 05 | |
MHL-LICENSE NUMBER | 041-744 | NC | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin