| Blc Group Home Llc | |
|
5720 Scarecrow Ct Fayetteville NC 28314-8560 | |
| (641) 426-3956 | |
| Not Available |
| Full Name | Blc Group Home Llc |
|---|---|
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
| Location | 5720 Scarecrow Ct, Fayetteville, North Carolina |
| Authorized Official Name and Position | Naphasorn Reyes (OWNER) |
| Authorized Official Contact | 6414263956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blc Group Home Llc 5720 Scarecrow Ct Fayetteville NC 28314-8560 Ph: (641) 426-3956 | Blc Group Home Llc 5720 Scarecrow Ct Fayetteville NC 28314-8560 Ph: (641) 426-3956 |
| NPI Number | 1033007646 |
|---|---|
| Provider Enumeration Date | 06/24/2025 |
| Last Update Date | 06/24/2025 |
| Certification Date | 06/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033007646 | NPI | - | NPPES |
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