Way Farer Court Facility

NPI 1063691236 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1063691236
Enumeration Date 10/24/2007
Last Updated 10/24/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DUANE DUANE
Position CONTROLLER
Phone (252) 977-3747
Fax
Practice Location
145 WAYFARER CT
ROCKY MOUNT NC, 27801-6282, US
Phone (252) 977-3747
Fax
Business Location
7227 LEE DEFOREST DR
COLUMBIA MD, 21046-3236, US
Phone
Fax
Toxanomy
Taxonomy Code 320600000X
License State North Carolina
License Number 033-049
Remove 1063691236 NPI Number
 

According to our database, Way Farer Court Facility NPI is 1063691236, taxonomy code is 320600000X and license number is 033-049, license state is located at North Carolina. Way Farer Court Facility physically located at 145 Wayfarer Ct, Rocky Mount NC, 27801-6282. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1063691236 NPI number is provided on an as is basis without warranty of any kind. 1063691236 is maintained by the National Plan & Provider Enumeration System. The contents of Way Farer Court Facility are for informational purposes only.