OrganizationActive
Angel'S Group Home, LLC
NPI 1639480346 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Garner, NC
Provider details
- NPI number
- 1639480346
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Valarie Mccullers, Ceo(919) 963-9167
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
10590 Cleveland Rd
Garner, NC 27529-8187
Phone: (919) 963-9167
Fax: (919) 963-9168
Approximate (ZIP-level) locationGet directions
Mailing address
10590 Cleveland Road
Garner, NC 27529
Registry dates
- Enumerated
- 2010-06-28
- Last updated
- 2010-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.