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PEACE LILY DEVELOPMENT INC. NPI 1992869887


NPI Information

NPI: 1992869887
Provider Name: PEACE LILY DEVELOPMENT, INC.
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
103 PEACE LILLY LN
DOBSON, NC
ZIP 27017
Phone: (336) 386-8074
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PEACE LILY DEVELOPMENT, INC. is an intermediate care facility mentally retarded in Dobson, NC. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. PEACE LILY DEVELOPMENT, INC. NPI is 1992869887. The provider is registered as an organization entity type.

The provider's business location address is:

103 PEACE LILLY LN
DOBSON, NC
ZIP 27017-483
Phone: (336) 386-8074
Fax: (336) 386-8394

The provider's authorized official is Kathy Lewis .
The authorized official title is Administrator and has the following contact phone number (336) 386-8074.

The enumeration date for this NPI number is 12/22/2006 and was last updated on 7/28/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesMHL086034NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17803740MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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