Support Care Llc in Goldsboro - Community/behavioral Health
Support Care Llc - NPI 1609064948
Support Care Llc is a Community/behavioral Health in Goldsboro, North Carolina. Support Care Llc practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Support Care Llc is 1609064948. The last update date is 2009-01-30.
Support Care Llc's current location address is 1402 Wayne Memorial Dr, Goldsboro, North Carolina. You can contact this provider via phone number 9197353311 and fax number 9197352999. The mailing address for Support Care Llc is 1402 Wayne Memorial Dr, Goldsboro, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Support Care Llc |
|---|---|
| Address | 1402 Wayne Memorial Dr, Goldsboro, North Carolina |
| Phone Number | 9197353311 |
| Fax Number | 9197352999 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Tabe E Wilson |
| Credentials | M.D. |
| Telephone Number | 9197353311 |
NPI Number Detail
| NPI Number | 1609064948 |
|---|---|
| Provider Enumeration Date | 2007-10-11 |
| Last Updated Date | 2009-01-30 |
Provider Mailing Address Detail
| Address | 1402 Wayne Memorial Dr |
|---|---|
| City | Goldsboro |
| State | North Carolina (NC) |
| Post Code | 275342235 |
| Phone Number | 9197353311 |
| Fax Number | 9197352999 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | 200101288 |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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What is the unique 10-digit identification code assigned to Support Care Llc by the Centers for Medicare & Medicaid Services?
The Support Care Llc has been issued the NPI (National Provider Identifier) 1609064948, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Support Care Llc is geographically located?
The Support Care Llc is physically situated at the following location: 1402 Wayne Memorial Dr, Goldsboro, NC, 275342235.
What is the Support Care Llc's specialty and taxonomy code?
The Support Care Llc's specialty is Community/behavioral Health, and the corresponding taxonomy code is 251S00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1609064948 to Support Care Llc?
The Support Care Llc received its 1609064948 assignment from the Centers for Medicare & Medicaid Services on 2007-10-11.
When was the information regarding Support Care Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Support Care Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-01-30.
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