Potter'S House Outreach Corporation in Fayetteville - Case Management
Potter'S House Outreach Corporation - NPI 1225164171
Potter'S House Outreach Corporation is a Case Management in Fayetteville, North Carolina. Potter'S House Outreach Corporation practices all healthcare services and medical treatments related to Case Management. The NPI Number for Potter'S House Outreach Corporation is 1225164171. The last update date is 2020-08-22.
Potter'S House Outreach Corporation's current location address is 100 Westlake Dr, Fayetteville, North Carolina. You can contact this provider via phone number 9108677791 and fax number 9108677731. The mailing address for Potter'S House Outreach Corporation is 100 Westlake Dr, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Potter'S House Outreach Corporation |
|---|---|
| Address | 100 Westlake Dr, Fayetteville, North Carolina |
| Phone Number | 9108677791 |
| Fax Number | 9108677731 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER CEO |
|---|---|
| Authorized Official Name | Robinson Terrell Vincent |
| Credentials | BA |
| Telephone Number | 9106709121 |
NPI Number Detail
| NPI Number | 1225164171 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 100 Westlake Dr |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 28314 |
| Phone Number | 9108677791 |
| Fax Number | 9108677731 |
Provider's Primary Taxonomy Detail
| Speciality | Case Management |
|---|---|
| Taxonomy | 251B00000X |
|
Definition: An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used |
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What is the unique identification code assigned to Potter'S House Outreach Corporation by the Centers for Medicare & Medicaid Services?
The Potter'S House Outreach Corporation has been issued the NPI (National Provider Identifier) 1225164171. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Potter'S House Outreach Corporation's facilities are situated?
The facilities of Potter'S House Outreach Corporation are physically located at the following address: 100 Westlake Dr, Fayetteville, NC, 28314.
What is Potter'S House Outreach Corporation's specialized field of practice, and what is the corresponding taxonomy classification code?
The Potter'S House Outreach Corporation's area of specialization is Case Management, and the corresponding taxonomy code that categorizes this field of practice is 251B00000X.
On what date was the 1225164171 assigned to Potter'S House Outreach Corporation?
The Potter'S House Outreach Corporation was issued its 1225164171 on 2007-02-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Potter'S House Outreach Corporation most recently updated or revised?
The information pertaining to Potter'S House Outreach Corporation, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY