Three Forks Home in Zionville - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Three Forks Home - NPI 1780875138
Three Forks Home is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Zionville, North Carolina. Three Forks Home practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Three Forks Home is 1780875138. The last update date is 2007-08-09.
Three Forks Home's current location address is 392 Camp Joy Road, Zionville, North Carolina. You can contact this provider via phone number 8283501254. The mailing address for Three Forks Home is 392 Camp Joy Road, Zionville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Three Forks Home |
|---|---|
| Address | 392 Camp Joy Road, Zionville, North Carolina |
| Phone Number | 8283501254 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Mcdowell F. C. |
| Telephone Number | 3364741260 |
NPI Number Detail
| NPI Number | 1780875138 |
|---|---|
| Provider Enumeration Date | 2007-08-09 |
| Last Updated Date | 2007-08-09 |
Provider Mailing Address Detail
| Address | 392 Camp Joy Road |
|---|---|
| City | Zionville |
| State | North Carolina (NC) |
| Post Code | 286989759 |
| Phone Number | 8283501254 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | MHL 095 043 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MHL 095-043 | NC | STATE LICENSE NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Three Forks Home by the Centers for Medicare & Medicaid Services (CMS)?
The Three Forks Home has been assigned the NPI (National Provider Identifier) 1780875138. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Three Forks Home is physically located?
The Three Forks Home is situated at the following address: 392 Camp Joy Road, Zionville, NC 286989759.
What is Three Forks Home's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Three Forks Home is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that classifies this field of practice is 320600000X.
On what date did the Three Forks Home receive its 1780875138 assignment from the Centers for Medicare & Medicaid Services?
The Three Forks Home was assigned its 1780875138 by the Centers for Medicare & Medicaid Services on 2007-08-09.
When was the information related to Three Forks Home most recently updated or refreshed?
The details pertaining to the Three Forks Home, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-08-09.
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