Healthcare Provider Details

I. General information

NPI: 1598813347
Provider Name (Legal Business Name): ALL MY CHILDREN HOME, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 E MAIN ST
CHERRYVILLE NC
28021-3418
US

IV. Provider business mailing address

711 E MAIN ST
CHERRYVILLE NC
28021-3418
US

V. Phone/Fax

Practice location:
  • Phone: 704-435-6727
  • Fax:
Mailing address:
  • Phone: 704-435-6727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNC

VIII. Authorized Official

Name: MRS. JOANN MILLER
Title or Position: CEO
Credential:
Phone: 704-484-9007