Edwards Group Home in Snow Hill - Community Based Residential Treatment Facility, Mental Illness

Edwards Group Home - NPI 1124158746

Edwards Group Home is a Community Based Residential Treatment Facility, Mental Illness in Snow Hill, North Carolina. Edwards Group Home practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Edwards Group Home is 1124158746. The last update date is 2008-01-10.

Edwards Group Home's current location address is Po Box 295, Snow Hill, North Carolina. You can contact this provider via phone number 2527474000 and fax number 2527472602. The mailing address for Edwards Group Home is Po Box 295, Snow Hill, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Edwards Group Home
Address Po Box 295, Snow Hill, North Carolina
Phone Number 2527474000
Fax Number 2527472602
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Mccollum Thomas
Telephone Number 2527474000

NPI Number Detail

NPI Number 1124158746
Provider Enumeration Date 2007-03-06
Last Updated Date 2008-01-10

Provider Mailing Address Detail

Address Po Box 295
City Snow Hill
State North Carolina (NC)
Post Code 285800295
Phone Number 2527474000
Fax Number 2527472602

Provider's Primary Taxonomy Detail

Speciality Community Based Residential Treatment Facility, Mental Illness
Taxonomy 320800000X
Licence No MHL040015
Definition:
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7804026 NC PROVIDER NUMBER

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FAQs about Edwards Group Home

What is the unique 10-digit identification code assigned to Edwards Group Home by the Centers for Medicare & Medicaid Services?

The Edwards Group Home has been issued the NPI (National Provider Identifier) 1124158746, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Edwards Group Home?

The Edwards Group Home is situated at Po Box 295, in the city of Snow Hill, state of NC, with the zip code 285800295.

What is the Edwards Group Home's specialty and taxonomy code?

The Edwards Group Home's specialty is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code is 320800000X.

On what date did Edwards Group Home receive its 1124158746 assignment from the Centers for Medicare & Medicaid Services?

The Edwards Group Home was assigned its 1124158746 on 2007-03-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Edwards Group Home, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Edwards Group Home, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-01-10.

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