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RESIDENTIAL LOVING CARE GROUP HOME NPI 1760668198


NPI Information

NPI: 1760668198
Provider Name: RESIDENTIAL LOVING CARE GROUP HOME
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
2924 BRYANTOWN ROAD
105 WEST MAIN STREET, AHOSKIE, NC 27910
JACKSON, NC
ZIP 27845
Phone: (252) 539-1010
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RESIDENTIAL LOVING CARE GROUP HOME is a residential treatment facility, intellectual and/or developmental disabilities in Jackson, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. RESIDENTIAL LOVING CARE GROUP HOME NPI is 1760668198. The provider is registered as an organization entity type.

The provider's business location address is:

2924 BRYANTOWN ROAD
105 WEST MAIN STREET, AHOSKIE, NC 27910
JACKSON, NC
ZIP 27845-000
Phone: (252) 539-1010
Fax: (252) 539-2010

The provider's authorized official is Patricia Vinson .
The authorized official title is Ceo/president and has the following contact phone number (252) 539-1010.

The enumeration date for this NPI number is 1/16/2008 and was last updated on 1/16/2008.


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
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesNORTH CAROLINAYes

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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