Ford Home in Jacksonville - Community/behavioral Health
Ford Home - NPI 1104005735
Ford Home is a Community/behavioral Health in Jacksonville, North Carolina. Ford Home practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Ford Home is 1104005735. The last update date is 2009-09-14.
Ford Home's current location address is Po Box 5182, Jacksonville, North Carolina. You can contact this provider via phone number 9109376000 and fax number 9103242725. The mailing address for Ford Home is Po Box 5182, Jacksonville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ford Home |
|---|---|
| Address | Po Box 5182, Jacksonville, North Carolina |
| Phone Number | 9109376000 |
| Fax Number | 9103242725 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PRES |
|---|---|
| Authorized Official Name | Ford Oliver |
| Telephone Number | 9103810125 |
NPI Number Detail
| NPI Number | 1104005735 |
|---|---|
| Provider Enumeration Date | 2007-10-31 |
| Last Updated Date | 2009-09-14 |
Provider Mailing Address Detail
| Address | Po Box 5182 |
|---|---|
| City | Jacksonville |
| State | North Carolina (NC) |
| Post Code | 285401182 |
| Phone Number | 9109376000 |
| Fax Number | 9103242725 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | MHL 067-167 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MHL 067-167 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Ford Home by the Centers for Medicare & Medicaid Services?
The Ford Home has been assigned the NPI (National Provider Identifier) 1104005735 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 Ford Home is physically located?
The Ford Home is situated at the following address: Po Box 5182, Jacksonville, NC 285401182.
What is the area of specialization for Ford Home, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ford Home is Community/behavioral Health, and the corresponding taxonomy code that categorizes this area of expertise is 251S00000X.
When did the Ford Home receive its 1104005735?
The Ford Home was issued its 1104005735 on 2007-10-31, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Ford Home last refreshed?
The information related to the Ford Home, including its address, specialty, and other relevant details, was last updated on 2009-09-14.
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