OrganizationActive
Lane'S House Adult Group Home
NPI 1306123294 · Developmental Disabilities Clinic/Center · Rocky Mount, NC
Provider details
- NPI number
- 1306123294
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Lillie Lane, Licensee
- License
- MHL-064-126 (NC)
Mailing address
3159 Octavia Dr
Rocky Mount, NC 27804-7959
Registry dates
- Enumerated
- 2011-11-07
- Last updated
- 2011-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.