| NPI | 1396870457 |
|---|---|
| Doing Business As | ALVERTA BOLICK HOME |
| Entity Type | Organization |
| Authorized Contact | F. JANE MCMILLAN Director Developmental Disabilities 336-474-1272 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC FCH011225) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2008-07-10 |