NPI | 1447499330 |
---|---|
Other Name | LAGRANGE HOME |
Entity Type | Organization |
Authorized Contact | TRACEY PRIDGEN CFO 919-734-8803 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: NC MHL-054-019) |
Enumeration Date | 2009-02-17 |
Last Update Date | 2025-10-08 |