Evangelistic Deliverance Center Adult Group Home in Tarboro - Intermediate Care Facility, Intellectual Disabilities
Evangelistic Deliverance Center Adult Group Home - NPI 1851589659
Evangelistic Deliverance Center Adult Group Home is a Intermediate Care Facility, Intellectual Disabilities in Tarboro, North Carolina. Evangelistic Deliverance Center Adult Group Home practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Evangelistic Deliverance Center Adult Group Home is 1851589659. The last update date is 2007-10-07.
Evangelistic Deliverance Center Adult Group Home's current location address is 1302 Saint Andrew St, Tarboro, North Carolina. You can contact this provider via phone number 2528233699 and fax number 2526411681. The mailing address for Evangelistic Deliverance Center Adult Group Home is 1302 Saint Andrew St, Tarboro, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evangelistic Deliverance Center Adult Group Home |
|---|---|
| Address | 1302 Saint Andrew St, Tarboro, North Carolina |
| Phone Number | 2528233699 |
| Fax Number | 2526411681 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/OPER |
|---|---|
| Authorized Official Name | Dickens Williams Patricia |
| Telephone Number | 2528233699 |
NPI Number Detail
| NPI Number | 1851589659 |
|---|---|
| Provider Enumeration Date | 2007-10-07 |
| Last Updated Date | 2007-10-07 |
Provider Mailing Address Detail
| Address | 1302 Saint Andrew St |
|---|---|
| City | Tarboro |
| State | North Carolina (NC) |
| Post Code | 278863032 |
| Phone Number | 2528233699 |
| Fax Number | 2526411681 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
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What is the Evangelistic Deliverance Center Adult Group Home's 1851589659?
The Evangelistic Deliverance Center Adult Group Home's NPI (National Provider Identifier) Number is 1851589659. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Evangelistic Deliverance Center Adult Group Home's facilities are geographically located?
The facilities of Evangelistic Deliverance Center Adult Group Home are physically situated at the following location: 1302 Saint Andrew St, Tarboro, NC, 278863032.
What is Evangelistic Deliverance Center Adult Group Home's specialized field of practice, and what is the corresponding taxonomy classification code?
The Evangelistic Deliverance Center Adult Group Home's area of specialization is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1851589659 to Evangelistic Deliverance Center Adult Group Home?
The Centers for Medicare & Medicaid Services assigned the 1851589659 to Evangelistic Deliverance Center Adult Group Home on 2007-10-07.
As of what date were the details pertaining to Evangelistic Deliverance Center Adult Group Home last refreshed?
The information related to the Evangelistic Deliverance Center Adult Group Home, including its address, specialty, and other relevant details, was last updated on 2007-10-07.