NPI 1295509230
House of Phyll Empowers LLC
Practice location
- Address
- 425 S Main St, Roxboro, NC 27573-5527
- Phone
- (336) 514-8252
- Mailing address
- 2586 Nc Highway 57 N, Milton, NC 27305-9312
Authorised official
- Name
- Tracey Lynn Graves-Woodard
- Title
- Ceo
- Phone
- (336) 514-8252
Registered specialties (2)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Registry record
- NPI
- 1295509230
- Entity type
- Organization
- NPI issued
- 9 Nov 2023
- Record last updated
- 9 Nov 2023
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.