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EAGLE MERE LIVING FACILITY/ADULT CARE HOME NPI 1932338670


NPI Information

NPI: 1932338670
Provider Name: EAGLE MERE LIVING FACILITY/ADULT CARE HOME

Doing Business As: NA

Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

CLIA Number: 34D0967226

Address:
200 EAGLES MERE TRL
ROCKY MOUNT, NC
ZIP 27804
Phone: (252) 442-4209
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EAGLE MERE LIVING FACILITY/ADULT CARE HOME is a developmental disabilities clinic center in Rocky Mount, NC. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). EAGLE MERE LIVING FACILITY/ADULT CARE HOME NPI is 1932338670. The provider is registered as an organization entity type.
The provider Is Doing Business As Na.

The provider's business location address is:

200 EAGLES MERE TRL
ROCKY MOUNT, NC
ZIP 27804-850
Phone: (252) 442-4209

The provider's authorized official is Donald Ray Batts .
The authorized official title is Co-owner and has the following contact phone number (252) 442-4209.

The CLIA number assigned to this NPI record is 34D0967226 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/2/2009 and was last updated on 7/2/2009.


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
1261QD1600XClinic/CenterDevelopmental DisabilitiesMHL064-087NORTH 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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