Coltranes Group Home
Coltranes 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 2007.
- Licensed in
- NC
- In the registry since
- 2007
Practice location Address checks out
3811 Repon StGreensboro, NC 27407-5536
Phone: (336) 299-9757
Fax: (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 | 1750576997 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Coltranes Group Home |
| Authorized official | Lathay Coltrane — Owner/Operator · (336) 299-9757 |
| NPI enumerated | September 11, 2007 |
| Last updated in NPPES | September 11, 2007 |
| Mailing address | Po Box 79113, Greensboro, NC 27417-9113 |
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