MAGNANIMOUS GROUP HOME LLC NPI 1003047069

NPI Information

MAGNANIMOUS GROUP HOME LLC is a residential treatment facility emotionally disturbed children in Pink Hill, NC. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. MAGNANIMOUS GROUP HOME LLC NPI is 1003047069. The provider is registered as an organization entity type.

The provider's business location address is:

9407 HWY 41 W
PINK HILL, NC
ZIP 28572-021
Phone: (910) 324-3276

The provider's authorized official is Isaiah Johnson .
The authorized official title is Ceo and has the following contact phone number (910) 382-9985.

The enumeration date for this NPI number is 8/6/2009 and was last updated on 8/6/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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