NPI 1013152578

Heavenlygates, INC.

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Greensboro, NC

Practice location

Address: 1407 Dunbar St, Greensboro, NC 27401-3801
Phone: (336) 617-3036
Fax: (336) 617-3036

Authorised official

Name: Tarsha Violet Howard
Title: Director
Phone: (336) 254-3137

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence MHL-041-882 (NC)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in North Carolina →

Registry record

NPI: 1013152578
Entity type: Organization
NPI issued: 11 Dec 2008
Record last updated: 11 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.