New Life Community Group Home, Inc
New Life Community Group Home, Inc is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.
- Licensed in
- NC
- In the registry since
- 2006
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2885 Marshallberg StWinston Salem, NC 27105
Phone: (336) 595-4501
Show map & directions
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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-034-202 (NC) |
|---|
Record details
| NPI number | 1194814038 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Beatrice Hardee — Administrator · (336) 595-4501 |
| NPI enumerated | October 11, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 2885 Marshallberg Street, Winston-Salem, NC 27105 |
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