| Mcdaniel Home # 1, # 2, # 3 | |
|
192 Country Club Rd # 27574 4694 Chub Lake Rd Roxboro NC 27574-7448 | |
| (336) 599-5473 | |
| (336) 599-8186 |
| Full Name | Mcdaniel Home # 1, # 2, # 3 |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
| Location | 192 Country Club Rd # 27574, Roxboro, North Carolina |
| Authorized Official Name and Position | Peggy Davis- Mcdaniel (DIRECTOR) |
| Authorized Official Contact | 3365995473 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcdaniel Home # 1, # 2, # 3 192 Country Club Rd # 27574 P O Box 1636 27573 Roxboro NC 27574-7448 Ph: (336) 599-5473 | Mcdaniel Home # 1, # 2, # 3 192 Country Club Rd # 27574 4694 Chub Lake Rd Roxboro NC 27574-7448 Ph: (336) 599-5473 |
| NPI Number | 1710326079 |
|---|---|
| Provider Enumeration Date | 06/20/2013 |
| Last Update Date | 12/12/2019 |
| Certification Date | 12/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710326079 | NPI | - | NPPES |
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