HEAVENLY ANGELS GROUP HOME INC NPI 1457591356

NPI Information

HEAVENLY ANGELS GROUP HOME, INC is a residential treatment facility, intellectual and/or developmental disabilities in Greensboro, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. HEAVENLY ANGELS GROUP HOME, INC NPI is 1457591356. The provider is registered as an organization entity type.

The provider's business location address is:

3725 ANITA LN
GREENSBORO, NC
ZIP 27405-412
Phone: (336) 358-2137
Fax: (336) 358-2136

The provider's authorized official is Antoinetta Demtria Fulton .
The authorized official title is Onwer/ Director and has the following contact phone number (336) 230-0808.

The enumeration date for this NPI number is 3/5/2009 and was last updated on 3/5/2009.

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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