The Door Of Life Residential Services in Cameron - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
The Door Of Life Residential Services - NPI 1285826503
The Door Of Life Residential Services is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Cameron, North Carolina. The Door Of Life Residential Services practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for The Door Of Life Residential Services is 1285826503. The last update date is 2007-08-10.
The Door Of Life Residential Services's current location address is 227 Constitution Way, Cameron, North Carolina. You can contact this provider via phone number 9194992419. The mailing address for The Door Of Life Residential Services is 227 Constitution Way, Cameron, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Door Of Life Residential Services |
|---|---|
| Address | 227 Constitution Way, Cameron, North Carolina |
| Phone Number | 9194992419 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Campbell Harvey |
| Telephone Number | 3364203195 |
NPI Number Detail
| NPI Number | 1285826503 |
|---|---|
| Provider Enumeration Date | 2007-08-10 |
| Last Updated Date | 2007-08-10 |
Provider Mailing Address Detail
| Address | 227 Constitution Way |
|---|---|
| City | Cameron |
| State | North Carolina (NC) |
| Post Code | 283269296 |
| Phone Number | 9194992419 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | MHL043069 |
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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. |
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What is the The Door Of Life Residential Services's 1285826503?
The The Door Of Life Residential Services's NPI (National Provider Identifier) Number is 1285826503. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the The Door Of Life Residential Services's physical address?
The The Door Of Life Residential Services is physically located at 227 Constitution Way, in the city of Cameron, NC, with the postal code 283269296.
What is The Door Of Life Residential Services's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for The Door Of Life Residential Services 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 Centers for Medicare & Medicaid Services issue the 1285826503 to The Door Of Life Residential Services?
The The Door Of Life Residential Services received its 1285826503 assignment from the Centers for Medicare & Medicaid Services on 2007-08-10.
As of what date were the The Door Of Life Residential Services's details last updated?
The information pertaining to the The Door Of Life Residential Services, including its address, specialty, and other details, was most recently updated on 2007-08-10.