GOD'S DESTINY FAMILY CARE HOME NPI 1871916189

NPI Information

NPI: 1871916189
Provider Name: GOD'S DESTINY FAMILY CARE HOME
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
107 GREENWOOD AVE
ROCKY MOUNT, NC
ZIP 27804
Phone: (252) 443-3521
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GOD'S DESTINY FAMILY CARE HOME is an adult mental health clinic center in Rocky Mount, NC. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. GOD'S DESTINY FAMILY CARE HOME NPI is 1871916189. The provider is registered as an organization entity type.

The provider's business location address is:

107 GREENWOOD AVE
ROCKY MOUNT, NC
ZIP 27804-739
Phone: (252) 443-3521
Fax: (252) 443-3521

The provider's authorized official is Brooke Amelia Jordan .
The authorized official title is Owner/administrator and has the following contact phone number (252) 567-7821.

The enumeration date for this NPI number is 1/23/2014 and was last updated on 1/23/2014.

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
1	261QM0850X	Clinic/Center	Adult Mental Health	FCL-064-025	NORTH CAROLINA	Yes

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

NPI Synchronization or Removal

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