NPI 1821124116

Graceland Manor & Associates, INC

Organisation Physical Disabilities Residential Treatment Facility Fayetteville, NC

Practice location

Address: 408 Pelt Dr, Fayetteville, NC 28301-3412
Phone: (910) 322-6855
Mailing address: PO Box 35174, Fayetteville, NC 28303-0174

Authorised official

Name: Elva Colvin
Title: Ceo
Phone: (910) 488-8807

Registered specialties (5)

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence FCL 026 026 (NC)

Other Residential Treatment Facility, Physical Disabilities providers in North Carolina →

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X

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Intellectual and/or Developmental Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320600000X Licence MHL 026 655 (NC)

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

Intellectual and/or Developmental Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320600000X Licence MHL 026 654 (NC)

Mental Illness Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320800000X

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Registry record

NPI: 1821124116
Entity type: Organization
NPI issued: 23 Feb 2007
Record last updated: 1 Jul 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.