Edwards Group Home 4 in Snow Hill - Community Based Residential Treatment Facility, Mental Illness
Edwards Group Home 4 - NPI 1609906288
Edwards Group Home 4 is a Community Based Residential Treatment Facility, Mental Illness in Snow Hill, North Carolina. Edwards Group Home 4 practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Edwards Group Home 4 is 1609906288. The last update date is 2008-01-10.
Edwards Group Home 4'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 4 is Po Box 295, Snow Hill, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Edwards Group Home 4 |
|---|---|
| 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 | 1609906288 |
|---|---|
| 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 | MHL040027 |
|
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 |
|---|---|---|---|
| 7805335 | NC | PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Edwards Group Home 4 by the Centers for Medicare & Medicaid Services?
The Edwards Group Home 4 has been assigned the NPI (National Provider Identifier) 1609906288 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Edwards Group Home 4 located?
The Edwards Group Home 4 is located at Po Box 295, Snow Hill, NC 285800295.
What is Edwards Group Home 4's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Edwards Group Home 4 is Community Based Residential Treatment Facility, Mental Illness, and the taxonomy code that categorizes this field of expertise is 320800000X.
When was the Edwards Group Home 4's 1609906288 issued?
The Edwards Group Home 4's 1609906288 was issued on 2007-03-06.
As of what date were the details related to Edwards Group Home 4 most recently updated or revised?
The information pertaining to Edwards Group Home 4, including its address, specialty, and other relevant details, was last updated or revised on 2008-01-10.