Organization Name: | HORIZONS GROUP HOMES, INC |
NPI Number: | 1114024262 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WENDELL D'ALTON WELLS (DIRECTOR CEO) |
Mailing Address: | 921 E Broad Ave Rockingham |
State: | NC US |
Postal Code: | 283794338 |
Phone Number: | 9108952400 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 09/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QC1500X |
License Number: | MHL-077-042 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |