Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wicker Street Group Home

Organization Assisted Living Facility (Mental Illness) · NPI 1861780322

Wicker Street Group Home is an Assisted Living Facility (Mental Illness) in Burlington, North Carolina. Licensed in North Carolina. Registered with an NPI since 2011.

Licensed in
NC
In the registry since
2011

Practice location Address checks out

1620 Flora Ave
Burlington, NC 27217-1018
Phone: (336) 227-4350
Fax: (336) 227-4350
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (Mental Illness) (primary) Taxonomy 3104A0625X · Licence 001-217 (NC)

Record details

NPI number1861780322
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dorothea Rogers — Director/Owner · (336) 578-0004
NPI enumeratedJuly 19, 2011
Last updated in NPPESFebruary 12, 2025
Certification dateJanuary 24, 2025
Mailing addressPo Box 981, Haw River, NC 27258-0981

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