Rouse'S Group Home, INC.
Intermediate Care Facility, Intellectual Disabilities in Stoneville, NC. Organization (NPI-2).
NPI number1841336062
StatusActive
Last updated in NPPESSep 10, 2015
Details
- NPI
- 1841336062
- Entity type
- Organization (NPI-2)
- Legal business name
- Rouse'S Group Home, INC.
- Organization subpart
- No
- Enumeration date
- Jan 29, 2007
- Last updated
- Sep 10, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | MHL-079-004 | NC | Yes |
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | MHL-079-047 | NC |
Practice location
5949 Nc 135Stoneville, NC 27048-8479
Phone 336-427-8562 · Fax 336-427-2978
Mailing address
5949 Nc 135Stoneville, NC 27048-8479
Phone 336-427-2532 · Fax 336-427-2978
Authorized official
Debra Renee Rouse
Administrator
3364270609
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