| NPI | 1568986800 |
|---|---|
| Other Name | STANLEY COURT HOME |
| Entity Type | Organization |
| Authorized Contact | SHARON P. JOHNSON CEO 336-896-1323 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: MHL-034-371) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2018-08-21 |