Graceland Manor & Associates, Inc in Fayetteville - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Graceland Manor & Associates, Inc - NPI 1821124116
Graceland Manor & Associates, Inc is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Fayetteville, North Carolina. Graceland Manor & Associates, Inc practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Graceland Manor & Associates, Inc is 1821124116. The last update date is 2010-07-01.
Graceland Manor & Associates, Inc's current location address is 408 Pelt Dr, Fayetteville, North Carolina. You can contact this provider via phone number 9103226855. The mailing address for Graceland Manor & Associates, Inc is 408 Pelt Dr, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Graceland Manor & Associates, Inc |
|---|---|
| Address | 408 Pelt Dr, Fayetteville, North Carolina |
| Phone Number | 9103226855 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Colvin Elva |
| Telephone Number | 9104888807 |
NPI Number Detail
| NPI Number | 1821124116 |
|---|---|
| Provider Enumeration Date | 2007-02-23 |
| Last Updated Date | 2010-07-01 |
Provider Mailing Address Detail
| Address | 408 Pelt Dr |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 283013412 |
| Phone Number | 9103226855 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | MHL 026 655 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to Graceland Manor & Associates, Inc?
The Graceland Manor & Associates, Inc has been issued the NPI (National Provider Identifier) 1821124116 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Graceland Manor & Associates, Inc is physically located?
The Graceland Manor & Associates, Inc is physically situated at the following address: 408 Pelt Dr, Fayetteville, NC, 283013412.
What is the Graceland Manor & Associates, Inc's area of specialization and corresponding taxonomy classification?
The Graceland Manor & Associates, Inc's specialty field is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320600000X, which categorizes healthcare providers based on their specialties.
On what date did the Graceland Manor & Associates, Inc receive its 1821124116 assignment from the Centers for Medicare & Medicaid Services?
The Graceland Manor & Associates, Inc was assigned its 1821124116 by the Centers for Medicare & Medicaid Services on 2007-02-23.
As of what date was the information pertaining to Graceland Manor & Associates, Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Graceland Manor & Associates, Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-07-01.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA