Gretchen Ann Mccord in Jacksonville - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Gretchen Ann Mccord - NPI 1811001688
Gretchen Ann Mccord is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Jacksonville, North Carolina. Gretchen Ann Mccord practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Gretchen Ann Mccord is 1811001688. The last update date is 2008-10-02.
Gretchen Ann Mccord's current location address is 306 Paddock Place, Jacksonville, North Carolina. You can contact this provider via phone number 9102190635. The mailing address for Gretchen Ann Mccord is 306 Paddock Place, Jacksonville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gretchen Ann Mccord |
|---|---|
| Address | 306 Paddock Place, Jacksonville, North Carolina |
| Phone Number | 9102190635 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SOLE PROPR |
|---|---|
| Authorized Official Name | Mccord Ann Gretchen |
| Telephone Number | 9102190635 |
NPI Number Detail
| NPI Number | 1811001688 |
|---|---|
| Provider Enumeration Date | 2006-08-18 |
| Last Updated Date | 2008-10-02 |
Provider Mailing Address Detail
| Address | 306 Paddock Place |
|---|---|
| City | Jacksonville |
| State | North Carolina (NC) |
| Post Code | 28546 |
| Phone Number | 9102190635 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | MHL-067-112 |
|
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 |
|---|---|---|---|
| 3409047 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Gretchen Ann Mccord by the Centers for Medicare & Medicaid Services?
The Gretchen Ann Mccord has been issued the NPI (National Provider Identifier) 1811001688, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Gretchen Ann Mccord is geographically located?
The Gretchen Ann Mccord is physically situated at the following location: 306 Paddock Place, Jacksonville, NC, 28546.
What is Gretchen Ann Mccord's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gretchen Ann Mccord'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 Centers for Medicare & Medicaid Services issue the 1811001688 to Gretchen Ann Mccord?
The Gretchen Ann Mccord received its 1811001688 assignment from the Centers for Medicare & Medicaid Services on 2006-08-18.
When was the Gretchen Ann Mccord's information last updated?
The Gretchen Ann Mccord's information was last updated on 2008-10-02.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI