NPI 1104968932

L&m Group Home INC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Fayetteville, NC

Practice location

Address: 936 Waterless St, Fayetteville, NC 28306-1606
Phone: (910) 484-7075
Fax: (910) 484-1704
Mailing address: 3311 Lake Bend Dr, Fayetteville, NC 28311-7661

Authorised official

Name: Shelton Leon Melvin
Title: Ceo
Phone: (910) 425-7391

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence MHL-026-748 (NC)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in North Carolina →

Registry record

NPI: 1104968932
Entity type: Organization
NPI issued: 12 Feb 2007
Record last updated: 22 Aug 2020

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.