Fairley Support Group Home Inc
Fairley Support Group Home Inc is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Maxton, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.
- Licensed in
- NC
- In the registry since
- 2007
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
12519 US Hwy 501 SMaxton, NC 28364
Phone: (910) 844-1880
Fax: (910) 844-1880
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence MHL-078-174 (NC) |
|---|
Record details
| NPI number | 1710170238 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tony Fairley — Administrator/Ceo · (910) 844-1880 |
| NPI enumerated | August 20, 2007 |
| Last updated in NPPES | August 20, 2007 |
| Mailing address | Po Box 182, 12519 Us Hwy 501 South, Maxton, NC 28364-0182 |