COLTRANE'S GROUP HOME
Residential Treatment Facilities at Repon St, Greensboro, NC

License number
North Carolina MHL-041-620
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
Owner
Name: LATHAY COLTRANE
Title: CEO
Phone: (336) 669-2819
Address
Address
3811 Repon St, Greensboro, NC 27407
National Provider ID: 1437324902
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Coltranes Group Home

Greensboro, NC

Industry:
Group Home
Phone:
(336) 299-9757 (Phone)
Addresses:
PO Box 79113, Greensboro, NC 27417
3811 Repon St, Greensboro, NC 27407
Owner, Chief Executive Officer:
Lathay Coltrane (Owner, Chief Executive Officer)

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