Coltrane's Group Home
Coltrane's Group Home is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Greensboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2008.
- Licensed in
- NC
- In the registry since
- 2008
Practice location Address checks out
3811 Repon StGreensboro, NC 27407-5536
Phone: (336) 299-1419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X · Licence MHL-041-620 (NC) |
|---|
Record details
| NPI number | 1437324902 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lathay Coltrane — Ceo · (336) 669-2819 |
| NPI enumerated | April 25, 2008 |
| Last updated in NPPES | April 25, 2008 |
| Mailing address | Po Box 79113, Greensboro, NC 27417-9113 |
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