Our Home Is Your Home

NPI 1245462092 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1245462092
Enumeration Date 08/12/2009
Last Updated 08/12/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name VIOLA BEATRICE VIOLA
Position CEO/PRESIDENT
Phone (252) 338-3284
Fax
Practice Location
206 W BROAD ST
ELIZABETH CITY NC, 27909-3521, US
Phone (252) 338-3284
Fax
Business Location
206 W BROAD ST
ELIZABETH CITY NC, 27909-3521, US
Phone (252) 338-3284
Fax
Toxanomy
Taxonomy Code 320900000X
License State
License Number
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According to our database, Our Home Is Your Home NPI is 1245462092, taxonomy code is 320900000X Our Home Is Your Home physically located at 206 W Broad St, Elizabeth City NC, 27909-3521. NPI Number 1033115704 has the healthcare provider type.

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1245462092 NPI number is provided on an as is basis without warranty of any kind. 1245462092 is maintained by the National Plan & Provider Enumeration System. The contents of Our Home Is Your Home are for informational purposes only.