Whalio Doctors

NPI 1023273505

Sammons Group Home

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

Practice location

Address
3129 Tarheel Clubhouse Rd, Raleigh, NC 27604-9675
Phone
(919) 217-0112
Fax
(919) 217-3962

Authorised official

Name
Charles Howard Sammons
Title
Owner
Phone
(919) 217-0112

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X Licence MHL-092-470 (NC)

Registry record

NPI
1023273505
Entity type
Organization
NPI issued
23 Jul 2008
Record last updated
23 Jul 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.