| Adult Day&respite Care Center | |
|
3107 Groometown Rd Greensboro NC 27407-5518 | |
| (336) 852-8338 | |
| (336) 852-8333 |
| Full Name | Adult Day&respite Care Center |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3107 Groometown Rd, Greensboro, North Carolina |
| Authorized Official Name and Position | Joanne Cagle (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3368528338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult Day&respite Care Center 3107 Groometown Rd N/a Greensboro NC 27407-5518 Ph: (336) 852-8338 | Adult Day&respite Care Center 3107 Groometown Rd Greensboro NC 27407-5518 Ph: (336) 852-8338 |
| NPI Number | 1124306865 |
|---|---|
| Provider Enumeration Date | 07/29/2011 |
| Last Update Date | 07/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124306865 | NPI | - | NPPES |
| 3409220 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | MHL-076-099 (North Carolina) | Primary |
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