NPI | 1417712555 |
---|---|
Doing Business As | 4C INTEGRATED HEALTH |
Entity Type | Organization |
Authorized Contact | LISA WIGFALL CEO 980-721-1573 |
Organization Subpart ? | No |
Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
Additional Taxonomies | 225100000X Physical Therapist |
251B00000X Case Management | |
251C00000X Day Training, Developmentally Disabled Services | |
251S00000X | |
252Y00000X Early Intervention Provider Agency | |
253Z00000X In Home Supportive Care | |
261QD1600X Clinic/Center, Developmental Disabilities | |
261QH0700X Clinic/Center, Hearing and Speech | |
261QM1300X Clinic/Center, Multi-Specialty | |
261QP2000X Clinic/Center, Physical Therapy | |
311ZA0620X Custodial Care Facility, Adult Care Home | |
385H00000X Respite Care | |
385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
Enumeration Date | 2024-02-19 |
Last Update Date | 2024-02-19 |