Walker Home

NPI 1588002307 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1588002307
Enumeration Date 06/14/2013
Last Updated 02/18/2015
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name KIERAN M KIERAN
Position PRESIDENT, CFO
Phone (704) 841-3544
Fax (704) 841-3545
Practice Location
1198 DR MARTIN LUTHER KING JR BLVD
WARRENTON NC, 27589-9173, US
Phone (704) 841-3544
Fax (704) 841-3545
Business Location
2331 CROWNPOINT EXECUTIVE DR STE J
CHARLOTTE NC, 28227-7749, US
Phone (704) 841-3544
Fax (704) 841-3545
Toxanomy
Taxonomy Code 320600000X
License State
License Number
Remove 1588002307 NPI Number
 

According to our database, Walker Home NPI is 1588002307, taxonomy code is 320600000X Walker Home physically located at 1198 Dr Martin Luther King Jr Blvd, Warrenton NC, 27589-9173. NPI Number 1033115704 has the healthcare provider type.

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1588002307 NPI number is provided on an as is basis without warranty of any kind. 1588002307 is maintained by the National Plan & Provider Enumeration System. The contents of Walker Home are for informational purposes only.