Kountry Trails in Pembroke - Day Training, Developmentally Disabled Services
Kountry Trails - NPI 1235281098
Kountry Trails is a Day Training, Developmentally Disabled Services in Pembroke, North Carolina. Kountry Trails practices all healthcare services and medical treatments related to Day Training, Developmentally Disabled Services. The NPI Number for Kountry Trails is 1235281098. The last update date is 2007-10-05.
Kountry Trails's current location address is Po Box 925, Pembroke, North Carolina. You can contact this provider via phone number 9105217788 and fax number 9105217788. The mailing address for Kountry Trails is Po Box 925, Pembroke, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kountry Trails |
|---|---|
| Address | Po Box 925, Pembroke, North Carolina |
| Phone Number | 9105217788 |
| Fax Number | 9105217788 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Johnson Jane |
| Telephone Number | 9105217788 |
NPI Number Detail
| NPI Number | 1235281098 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2007-10-05 |
Provider Mailing Address Detail
| Address | Po Box 925 |
|---|---|
| City | Pembroke |
| State | North Carolina (NC) |
| Post Code | 283720925 |
| Phone Number | 9105217788 |
| Fax Number | 9105217788 |
Provider's Primary Taxonomy Detail
| Speciality | Day Training, Developmentally Disabled Services |
|---|---|
| Taxonomy | 251C00000X |
| Licence No | MHL078154 |
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Definition: These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8301033 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kountry Trails by the Centers for Medicare & Medicaid Services?
The Kountry Trails has been assigned the NPI (National Provider Identifier) 1235281098 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Kountry Trails is physically located?
The Kountry Trails is situated at the following address: Po Box 925, Pembroke, NC 283720925.
What is Kountry Trails's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kountry Trails's specialized field of practice is Day Training, Developmentally Disabled Services, and the corresponding taxonomy code that categorizes this area of specialization is 251C00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1235281098 to Kountry Trails?
The Kountry Trails received its 1235281098 assignment from the Centers for Medicare & Medicaid Services on 2007-01-18.
As of what date were the details related to Kountry Trails most recently updated or revised?
The information pertaining to Kountry Trails, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-05.
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