NPI 1164751491

Golden Leaf Academy

Organisation Developmentally Disabled Services Day Training Agency Wilson, NC

Practice location

Address: 723 Elvis Street, Wilson, NC 27899-6113
Phone: (919) 255-3268
Mailing address: 3029 Stony Brook Dr STE 105, Raleigh, NC 27604-3790

Authorised official

Name: Donald K Grantham
Title: Director of Operations
Phone: (919) 255-3268

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in North Carolina →

Registry record

NPI: 1164751491
Entity type: Organization
NPI issued: 16 Dec 2009
Record last updated: 16 Dec 2009

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.