PINE FORREST FARM INC
Residential Treatment Facilities at Nc Highway 801, Farmington, NC

License number
North Carolina MHL030028
Category
Residential Treatment Facilities
Type
Residential Treatment Facility, Emotionally Disturbed Children
Owner
Name: MR. EMANUEL EUGENE BONAPARTE
Title: EXECUTIVE DIRECTOR
Phone: (828) 615-7030
Address
Address
4190 Nc Highway 801 N, Farmington, NC 27028
National Provider ID: 1902020662
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Pine Forrest Farm, Inc

Farmington, NC  -  Clemmons, NC

Status:
Inactive
Industry:
General Crop Farm
Registration:
Mar 21, 1986
Addresses:
4190 Nc Hwy 801 N, Mocksville, NC 27028 (Physical)
PO Box 729, Clemmons, NC 27012 (Mailing)
State ID:
0185105
Executive Director, Principals:
Emanuel E. Bonaparte (President), 4190 Hwy 801 N, Mocksville, NC 27028 (Physical),Natasha B. Long (Secretary), 450 Hospital St Ext, Mocksville, NC 27028 (Physical),Nicole R. Bonaparte (Treasurer), 8503 Parkland Cir, Charlotte, NC 28227 (Physical),...
Agent:
Emanuel E Bonaparte

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