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General NPI Number Information
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NPI Number | 1497895148
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Entity Type | Organization
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Legal Business Name | GOD'S HARVEST HOUSE MINISTRY INC.
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 09/23/2008
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Provider Practice Location Address
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Address Line | 412 NORTHRIDGE ST
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City | GREENSBORO
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State | NC
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Zip | 27403-1460
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Country | US
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Telephone | 336-855-8508
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Fax | 363-676-8819
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Provider Business Mailing Address
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Address Line | 105 RITTERS LAKE RD
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City | GREENSBORO
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State | NC
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Zip | 27406-9249
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Country | US
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Telephone | 336-676-9312
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Fax | 336-676-8819
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Authorized Official
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Title or Position | CEO
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Name | MRS. CHARY MAE CURTIS
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Credential | HS
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Telephone | 336-676-9312
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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 | 320900000X
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License Number State | NC
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