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NC OUTREACH GROUP HOMES, LLC

Intermediate Care Facility, Mentally Retarded

Nebo, North Carolina

Provider NPI: 1215097357

Organization Information:
Organization Name:  NC OUTREACH GROUP HOMES, LLC


Practice Location:
252 NC 126  NEBO, NC 28761 US
Tel: 828-559-9940  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Y251S00000XAgencies
Community/Behavioral Health

Other Provider Identifiers:

IssuerNumberStateType
7805640NC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTALLY RETARDED JOBS NC - Page 1



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