Mary Taylor Homes
Organization Active NPI Mental Illness Community Based Residential Treatment Facility · La Grange, NC
NPI 1124157730 · NPPES record last updated Sep 1, 2007
Key facts
- NPI
- 1124157730
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Illness Community Based Residential Treatment Facility 320800000X
- License
- MHL-040-036 (NC)
- Legal business name
- MARY TAYLOR HOMES
- Practice address
- 6957 NC Highway 903 S
La Grange, NC 28551-8367 - Phone
- (252) 566-8455
- Fax
- (252) 566-8455
- NPI assigned
- Mar 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Charlene Gage, RN
- Title
- Executive Director
- Phone
- (252) 566-8455
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | MHL-040-036 | NC | |
| Developmentally Disabled Services Day Training Agency | 251C00000X | MHL-040-036 | NC | |
| Ambulatory Family Planning Facility | 261QA0005X | MHL-040-036 | NC | |
| Assisted Living Facility (Mental Illness) | 3104A0625X | MHL-040-036 | NC | |
| Custodial Care Facility | 311Z00000X | MHL-040-036 | NC | |
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | MHL-040-036 | NC | |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | MHL-040-036 | NC | |
| Physical Disabilities Residential Treatment Facility | 320700000X | MHL-040-036 | NC | |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | MHL-040-036 | NC | Yes |
| Non-Pharmacy Dispensing Site | 332900000X | MHL-040-036 | NC | |
| Long Term Care Pharmacy | 3336L0003X | MHL-040-036 | NC | |
| Non-emergency Medical Transport (VAN) | 343900000X | MHL-040-036 | NC | |
| Private Vehicle | 347C00000X | MHL-040-036 | NC | |
| Respite Care | 385H00000X | MHL-040-036 | NC |
Addresses
Primary practice location
6957 NC Highway 903 S
La Grange, NC 28551-8367
Mailing address
6957 NC Highway 903 S
La Grange, NC 28551-8367
Phone (252) 566-8455
Other providers in La Grange, NC
- Kinston Clinic Pharmacy Inc
- Lane and Associates Xlvii DDS PA
- Mackenzie King Lewis
- Tamiko Loftin
- Joseph Anthony Marchese Jr.
- Lisa Radford May
- Keith Michael McGinnis
- John Thomas Moore
- Nova Ic, Inc.
- Open Door Counseling NC, PLLC
All providers in La Grange, NC · Mental Illness Community Based Residential Treatment Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.