NPI 1093017238

Making a Difference Grouphome

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

Practice location

Address: 1820 Bedford Rd, Rocky Mount, NC 27801-6303
Phone: (252) 469-5264
Mailing address: 1820 Bedford Rd 1820 Bedford Road, Rocky Mount, NC 27801-6303

Authorised official

Name: Willie Morris
Title: Administrator
Phone: (252) 469-5264

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X Licence MHL033090 (NC)

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

Registry record

NPI: 1093017238
Entity type: Organization
NPI issued: 19 Nov 2010
Record last updated: 19 Nov 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.