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GRACE DEVELOPMENT CLAN INC. NPI 1780724484


NPI Information

NPI: 1780724484
Provider Name: GRACE DEVELOPMENT CLAN INC.

Doing Business As: THE DEAN HOUSE

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
3502 CHERRY ST
WINSTON SALEM, NC
ZIP 27105
Phone: (336) 480-8369
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GRACE DEVELOPMENT CLAN INC. is a residential treatment facility, intellectual and/or developmental disabilities in Winston Salem, 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. GRACE DEVELOPMENT CLAN INC. NPI is 1780724484. The provider is registered as an organization entity type.
The provider Is Doing Business As The Dean House.

The provider's business location address is:

3502 CHERRY ST
WINSTON SALEM, NC
ZIP 27105-416
Phone: (336) 480-8369
Fax: (336) 721-1176

The provider's authorized official is Tonya G Barnes .
The authorized official title is Administrator and has the following contact phone number (336) 480-8369.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 8/22/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL034210NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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