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PEACE LILY DEVELOPMENT, INC.

Intermediate Care Facility, Mentally Retarded

Dobson, North Carolina

Provider NPI: 1457413437

Organization Information:
Organization Name:  PEACE LILY DEVELOPMENT, INC.


Practice Location:
101 PEACE LILLY LN  DOBSON, NC 27017 US
Tel: 336-386-8074  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
NCMHL086032

Other Provider Identifiers:

IssuerNumberStateType
7803740NC05
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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