Ebenezer Christian Childrens Home in North Wilkesboro - Residential Treatment Facility, Emotionally Disturbed Children

Ebenezer Christian Childrens Home - NPI 1881866002

Ebenezer Christian Childrens Home is a Residential Treatment Facility, Emotionally Disturbed Children in North Wilkesboro, North Carolina. Ebenezer Christian Childrens Home practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Ebenezer Christian Childrens Home is 1881866002. The last update date is 2008-03-27.

Ebenezer Christian Childrens Home's current location address is P.o. Box 2777, North Wilkesboro, North Carolina. You can contact this provider via phone number 3366675683 and fax number 3366678634. The mailing address for Ebenezer Christian Childrens Home is P.o. Box 2777, North Wilkesboro, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Ebenezer Christian Childrens Home
Address P.o. Box 2777, North Wilkesboro, North Carolina
Phone Number 3366675683
Fax Number 3366678634
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Davis Jean
Telephone Number 3366675683

NPI Number Detail

NPI Number 1881866002
Provider Enumeration Date 2008-03-27
Last Updated Date 2008-03-27

Provider Mailing Address Detail

Address P.o. Box 2777
City North Wilkesboro
State North Carolina (NC)
Post Code 286592777
Phone Number 3366675683
Fax Number 3366678634

Provider's Primary Taxonomy Detail

Speciality Residential Treatment Facility, Emotionally Disturbed Children
Taxonomy 322D00000X
Licence No MHL-097-061
Definition:
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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FAQs about Ebenezer Christian Childrens Home

What is the unique 10-digit identification code issued to Ebenezer Christian Childrens Home by the Centers for Medicare & Medicaid Services?

The Ebenezer Christian Childrens Home has been assigned the NPI (National Provider Identifier) 1881866002 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Ebenezer Christian Childrens Home is geographically located?

The Ebenezer Christian Childrens Home is physically situated at the following location: P.O. Box 2777, North Wilkesboro, NC, 286592777.

What is the Ebenezer Christian Childrens Home's specialty and taxonomy code?

The Ebenezer Christian Childrens Home's specialty is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code is 322D00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1881866002 to Ebenezer Christian Childrens Home?

The Centers for Medicare & Medicaid Services originally issued the 1881866002 to Ebenezer Christian Childrens Home on 2008-03-27.

When was the information regarding Ebenezer Christian Childrens Home, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Ebenezer Christian Childrens Home, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-03-27.

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