Dk Ambassador in Goldsboro - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Dk Ambassador - NPI 1740336031
Dk Ambassador is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Goldsboro, North Carolina. Dk Ambassador practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Dk Ambassador is 1740336031. The last update date is 2020-08-22.
Dk Ambassador's current location address is 2111 N William St, Goldsboro, North Carolina. You can contact this provider via phone number 9197354275. The mailing address for Dk Ambassador is 2111 N William St, Goldsboro, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dk Ambassador |
|---|---|
| Address | 2111 N William St, Goldsboro, North Carolina |
| Phone Number | 9197354275 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Artis C. Karlus |
| Credentials | MD |
| Telephone Number | 2524432778 |
NPI Number Detail
| NPI Number | 1740336031 |
|---|---|
| Provider Enumeration Date | 2007-01-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2111 N William St |
|---|---|
| City | Goldsboro |
| State | North Carolina (NC) |
| Post Code | 275301437 |
| Phone Number | 9197354275 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
|
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 |
|---|---|---|---|
| 890136R | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Dk Ambassador by the Centers for Medicare & Medicaid Services?
The Dk Ambassador has been issued the NPI (National Provider Identifier) 1740336031 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Dk Ambassador is geographically located?
The Dk Ambassador is physically situated at the following location: 2111 N William St, Goldsboro, NC, 275301437.
What is Dk Ambassador's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Dk Ambassador'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 the Dk Ambassador receive its 1740336031 assignment from the Centers for Medicare & Medicaid Services?
The Dk Ambassador was assigned its 1740336031 by the Centers for Medicare & Medicaid Services on 2007-01-27.
As of what date were the details pertaining to Dk Ambassador last refreshed?
The information related to the Dk Ambassador, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY