Houseofdavid

NPI 1447382387 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1447382387
Enumeration Date 03/09/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name VICTOR OTIS VICTOR
Position OWNER DIRECTOR
Phone (910) 389-4324
Fax (910) 388-2834
Practice Location
209 TONI DR
JACKSONVILLE NC, 28546-4803, US
Phone (910) 389-4324
Fax (910) 388-2834
Business Location
209 TONI DR
JACKSONVILLE NC, 28546-4803, US
Phone (910) 389-4324
Fax (910) 388-2834
Toxanomy
Taxonomy Code 320600000X
License State
License Number
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According to our database, Houseofdavid NPI is 1447382387, taxonomy code is 320600000X Houseofdavid physically located at 209 Toni Dr, Jacksonville NC, 28546-4803. NPI Number 1033115704 has the healthcare provider type.

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1447382387 NPI number is provided on an as is basis without warranty of any kind. 1447382387 is maintained by the National Plan & Provider Enumeration System. The contents of Houseofdavid are for informational purposes only.