| NPI | 1699834812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLIE STROUD Director 252-972-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist (Licence: NC HC2524) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: NC HC2524) |
| 376K00000X Nurse's Aide (Licence: NC HC2524) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC HC2524) | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: NC HC2524) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC HC2524) | |
| 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: NC HC2524) | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child (Licence: NC HC2524) | |
| 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NC HC2524) | |
| 163WH0200X Registered Nurse, Home Health (Licence: NC HC2524) | |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC HC2524) | |
| 3747A0650X Technician, Attendant Care Provider (Licence: NC HC2524) | |
| 374700000X Technician (Licence: NC HC2524) | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |