| Davis Farm Adult Group Home | |
|
232 Golden Valley Lane Battleboro NC 27809-7731 | |
| (252) 442-5000 | |
| Not Available |
| Full Name | Davis Farm Adult Group Home |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 232 Golden Valley Lane, Battleboro, North Carolina |
| Authorized Official Name and Position | Ashley Burgess Davis (OWNER) |
| Authorized Official Contact | 2529030349 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Davis Farm Adult Group Home 232 Golden Valley Lane Battleboro NC 27809-7731 Ph: (252) 442-5000 | Davis Farm Adult Group Home 232 Golden Valley Lane Battleboro NC 27809-7731 Ph: (252) 442-5000 |
| NPI Number | 1629394309 |
|---|---|
| Provider Enumeration Date | 04/20/2010 |
| Last Update Date | 04/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629394309 | NPI | - | NPPES |
| MHL-033-074 | Other | NC | MENTAL HEALTH LICENSURE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | MHL-033-074 (North Carolina) | Primary |
Davis Farm Adult Group Home 2 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 236 Golden Valley Lane, Battleboro, NC 27809 Phone: 252-442-5000 |