Provider Demographics
NPI:1083735260
Name:COUNTY OF GUILFORD
Entity Type:Organization
Organization Name:COUNTY OF GUILFORD
Other - Org Name:GUILFORD COUNTY DEPARTMENT OF SOCIAL SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:SSV DIVISION DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHELIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:STOKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-641-6428
Mailing Address - Street 1:1203 MAPLE STREET
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405-6910
Mailing Address - Country:US
Mailing Address - Phone:336-641-3934
Mailing Address - Fax:336-641-6193
Practice Address - Street 1:1203 MAPLE STREET
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-6910
Practice Address - Country:US
Practice Address - Phone:336-641-3934
Practice Address - Fax:336-641-6193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8700046Medicaid