Dianne Gibson in Fayetteville - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Dianne Gibson - NPI 1194875658
Dianne Gibson is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Fayetteville, North Carolina. Dianne Gibson practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Dianne Gibson is 1194875658. The last update date is 2007-07-09.
Dianne Gibson's current location address is 2901 Bakers Mill Rd, Fayetteville, North Carolina. You can contact this provider via phone number 9104238816 and fax number 9104238816. The mailing address for Dianne Gibson is 2901 Bakers Mill Rd, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dianne Gibson |
|---|---|
| Address | 2901 Bakers Mill Rd, Fayetteville, North Carolina |
| Phone Number | 9104238816 |
| Fax Number | 9104238816 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1194875658 |
|---|---|
| Provider Enumeration Date | 2007-01-10 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 2901 Bakers Mill Rd |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 283068273 |
| Phone Number | 9104238816 |
| Fax Number | 9104238816 |
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 |
|---|---|---|---|
| 3409525 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Dianne Gibson by the Centers for Medicare & Medicaid Services?
The Dianne Gibson has been issued the NPI (National Provider Identifier) 1194875658 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Dianne Gibson is physically located?
The Dianne Gibson is physically situated at the following address: 2901 Bakers Mill Rd, Fayetteville, NC, 283068273.
What is the area of specialization for Dianne Gibson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Dianne Gibson is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 320900000X.
On what date did the Dianne Gibson receive its 1194875658 assignment from the Centers for Medicare & Medicaid Services?
The Dianne Gibson was assigned its 1194875658 by the Centers for Medicare & Medicaid Services on 2007-01-10.
As of what date were the details related to Dianne Gibson most recently updated or revised?
The information pertaining to Dianne Gibson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.