| NPI | 1326807066 |
|---|---|
| Doing Business As | GODFREYS RESIDENTIAL ADULT CARE |
| Entity Type | Organization |
| Authorized Contact | BRENDA JOYCE GODFREY Executive Director 251-689-1459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-03-15 |
| Last Update Date | 2024-03-15 |