SHAUWANNA NICOLE EDWARDS

HOOKERTON, NC
NPI1184493116
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy320700000X Residential Treatment Facility, Physical Disabilities
Additional Taxonomies251C00000X Day Training, Developmentally Disabled Services
3104A0625X Assisted Living Facility, Assisted Living, Mental Illness
311ZA0620X Custodial Care Facility, Adult Care Home
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities
320800000X Community Based Residential Treatment Facility, Mental Illness
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
322D00000X Residential Treatment Facility, Emotionally Disturbed Children
323P00000X Psychiatric Residential Treatment Facility
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child
385HR2065X Respite Care, Respite Care, Physical Disabilities, Child
Enumeration Date2024-01-02
Last Update Date2024-01-02
Business Address
SHAUWANNA NICOLE EDWARDS
504 BRICK KITCHEN RD
HOOKERTON, NC 28538-7010
Phone number: 252-525-3997
Mailing Address
SHAUWANNA NICOLE EDWARDS
504 BRICK KITCHEN RD
HOOKERTON, NC 28538-7010
Phone number: 252-525-3997