People Of Potential, Inc in Jacksonville - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
People Of Potential, Inc - NPI 1124132030
People Of Potential, Inc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Jacksonville, North Carolina. People Of Potential, Inc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for People Of Potential, Inc is 1124132030. The last update date is 2012-11-21.
People Of Potential, Inc's current location address is 113 Courtland Dr, Jacksonville, North Carolina. You can contact this provider via phone number 9102651756 and fax number 9102651756. The mailing address for People Of Potential, Inc is 113 Courtland Dr, Jacksonville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | People Of Potential, Inc |
|---|---|
| Address | 113 Courtland Dr, Jacksonville, North Carolina |
| Phone Number | 9102651756 |
| Fax Number | 9102651756 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Mccullen L Dawn |
| Telephone Number | 9102651756 |
NPI Number Detail
| NPI Number | 1124132030 |
|---|---|
| Provider Enumeration Date | 2006-08-18 |
| Last Updated Date | 2012-11-21 |
Provider Mailing Address Detail
| Address | 113 Courtland Dr |
|---|---|
| City | Jacksonville |
| State | North Carolina (NC) |
| Post Code | 285466017 |
| Phone Number | 9102651756 |
| Fax Number | 9102651756 |
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 |
|---|---|---|---|
| 3409608 | NC | -- | |
| 8301274 | NC | -- |
Post Comment/ Review Below
What is the People Of Potential, Inc's 1124132030?
The People Of Potential, Inc's NPI (National Provider Identifier) Number is 1124132030. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the People Of Potential, Inc's physical address?
The People Of Potential, Inc is physically located at 113 Courtland Dr, in the city of Jacksonville, NC, with the postal code 285466017.
What is People Of Potential, Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The People Of Potential, Inc'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 People Of Potential, Inc receive its 1124132030 assignment from the Centers for Medicare & Medicaid Services?
The People Of Potential, Inc was assigned its 1124132030 by the Centers for Medicare & Medicaid Services on 2006-08-18.
As of what date were the details related to People Of Potential, Inc most recently updated or revised?
The information pertaining to People Of Potential, Inc, including its address, specialty, and other relevant details, was last updated or revised on 2012-11-21.
NPI Number: 1942207287
Address: N160 State Route 108, Napoleon, OH