South Point Manor in Fuquay Varina - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
South Point Manor - NPI 1083753073
South Point Manor is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Fuquay Varina, North Carolina. South Point Manor practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for South Point Manor is 1083753073. The last update date is 2008-01-02.
South Point Manor's current location address is 2316 Angier Rd, Fuquay Varina, North Carolina. You can contact this provider via phone number 9196396893 and fax number 9196392913. The mailing address for South Point Manor is 2316 Angier Rd, Fuquay Varina, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Point Manor |
|---|---|
| Address | 2316 Angier Rd, Fuquay Varina, North Carolina |
| Phone Number | 9196396893 |
| Fax Number | 9196392913 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Woodard Senora |
| Telephone Number | 9196396893 |
NPI Number Detail
| NPI Number | 1083753073 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2008-01-02 |
Provider Mailing Address Detail
| Address | 2316 Angier Rd |
|---|---|
| City | Fuquay Varina |
| State | North Carolina (NC) |
| Post Code | 27526 |
| Phone Number | 9196396893 |
| Fax Number | 9196392913 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | HAL032072 |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7804941 | NC | -- |
Post Comment/ Review Below
What is the South Point Manor's 1083753073?
The South Point Manor's NPI (National Provider Identifier) Number is 1083753073. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where South Point Manor is located?
The South Point Manor is situated at the following address: 2316 Angier Rd, Fuquay Varina, NC, 27526.
What is South Point Manor's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The South Point Manor's specialized field of practice is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 320900000X.
On what date did South Point Manor receive its 1083753073 assignment from the Centers for Medicare & Medicaid Services?
The South Point Manor was assigned its 1083753073 on 2007-02-06, 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 South Point Manor most recently updated?
The details pertaining to the South Point Manor, including its address, specialty, and other relevant information, were last refreshed on 2008-01-02.