Guardian Light Group Home
Guardian Light Group Home is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Hallsboro, 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
1294 Hallsboro Rd SHallsboro, NC 28442-9276
Phone: (910) 864-3163
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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-024-056 (NC) |
|---|
Record details
| NPI number | 1427177542 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robertha Powers — Owner · (910) 864-3163 |
| NPI enumerated | March 28, 2007 |
| Last updated in NPPES | July 25, 2007 |
| Mailing address | Po Box 1877, Whiteville, NC 28472-1877 |
Other providers in Hallsboro
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Guardian Light, Inc
1294 Hallsboro Rd S, Hallsboro, NC 28442-9276 · (910) 646-7143