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General NPI Number Information
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NPI Number | 1487511549
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Entity Type | Organization
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Legal Business Name | MORGAN GROUP HOMES LLC
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Dates
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Enumeration Date | 01/08/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 2013 DACIAN ST
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City | WINSTON SALEM
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State | NC
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Zip | 27107-2228
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Country | US
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Telephone | 704-491-3403
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Fax |
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Provider Business Mailing Address
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Address Line | 593 CLEAR MEADOW DR
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City | WINSTON SALEM
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State | NC
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Zip | 27107-6478
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Country | US
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Telephone | 704-491-3403
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LESTER MORGAN
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Credential |
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Telephone | 704-491-3403
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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