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General NPI Number Information
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NPI Number | 1336440726
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Entity Type | Organization
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Legal Business Name | HORIZONS GROUP HOMES, INC.
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Dates
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Enumeration Date | 11/16/2010
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Last Update Date | 11/16/2010
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Provider Practice Location Address
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Address Line | 123 E MARTIN ST SUITE 200
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City | WADESBORO
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State | NC
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Zip | 28170-2216
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Country | US
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Telephone | 704-694-2232
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Fax | 704-694-3522
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Provider Business Mailing Address
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Address Line | PO BOX 1145
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City | HAMLET
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State | NC
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Zip | 28345-1145
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Country | US
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Telephone | 704-694-2232
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Fax | 704-694-3522
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Authorized Official
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Title or Position | CEO
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Name | MR. WENDELL D'ALTON WELLS IV
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Credential |
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Telephone | 704-694-2232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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