| Community Housing Group Home | |
|
1018 5th St Se Hickory NC 28602 | |
| (828) 695-5900 | |
| (828) 695-4256 |
| Full Name | Community Housing Group Home |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
| Location | 1018 5th St Se, Hickory, North Carolina |
| Authorized Official Name and Position | Sharon L Lynch (FINANCIAL MANAGER) |
| Authorized Official Contact | 8286955900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Housing Group Home 3050 11th Avenue Dr Se Hickory NC 28602-8336 Ph: (828) 695-5900 | Community Housing Group Home 1018 5th St Se Hickory NC 28602 Ph: (828) 695-5900 |
| NPI Number | 1023132560 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 05/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023132560 | NPI | - | NPPES |
| 7805708 | Medicaid | NC |
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