NPI 1063624641

Sedalia Center #2

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Gibsonville, NC

Practice location

Address: 6143 Blue Lantern Rd, Gibsonville, NC 27249-8737
Phone: (336) 275-7328
Fax: (336) 272-6359

Authorised official

Name: Glenda T Liggins
Title: Owner
Phone: (336) 275-7328

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence FCL-041-070 (NC)

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

Registry record

NPI: 1063624641
Entity type: Organization
NPI issued: 4 May 2007
Record last updated: 5 Mar 2010

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.