Adult Day & Respite Care Center

Organization Active NPI Child Intellectual and/or Developmental Disabilities Respite Care · Greensboro, NC

NPI 1457558736 · NPPES record last updated Jul 16, 2007

Key facts

NPI
1457558736
Entity type
Organization (NPI type 2)
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X
License
3409220 (NC)
Legal business name
ADULT DAY & RESPITE CARE CENTER
Practice address
3107 Groometown Rd
5026- F Hilltop Rd
Greensboro, NC 27407-5518
Phone
(336) 852-8338
Fax
(336) 852-8333
NPI assigned
Jun 29, 2007
Organization subpart
No

Authorized official

Name
Ms. Joanne Cagle, MSW
Title
Executive Director
Phone
(336) 852-8338

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Adult Day Respite Care Center (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X 3409220 NC Yes

Addresses

Primary practice location

3107 Groometown Rd
5026- F Hilltop Rd
Greensboro, NC 27407-5518

Mailing address

3107 Groometown Rd
N-a
Greensboro, NC 27407-5518
Phone (336) 852-8338

Other identifiers

IdentifierTypeStateIssuer
3409220MedicaidNC

Other providers in Greensboro, NC

All providers in Greensboro, NC · Child Intellectual and/or Developmental Disabilities Respite Care in North Carolina

Sources for this page

Verify at the official NPI Registry.