Rose Of Sharon Adolescent Treatment Home in Clayton - Residential Treatment Facility, Emotionally Disturbed Children
Rose Of Sharon Adolescent Treatment Home - NPI 1194871483
Rose Of Sharon Adolescent Treatment Home is a Residential Treatment Facility, Emotionally Disturbed Children in Clayton, North Carolina. Rose Of Sharon Adolescent Treatment Home practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Rose Of Sharon Adolescent Treatment Home is 1194871483. The last update date is 2008-06-16.
Rose Of Sharon Adolescent Treatment Home's current location address is 161 Kentucky Derby Dr, Clayton, North Carolina. You can contact this provider via phone number 9195502648 and fax number 9192201185. The mailing address for Rose Of Sharon Adolescent Treatment Home is 161 Kentucky Derby Dr, Clayton, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Rose Of Sharon Adolescent Treatment Home |
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Address | 161 Kentucky Derby Dr, Clayton, North Carolina |
Phone Number | 9195502648 |
Fax Number | 9192201185 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO-OWNER |
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Authorized Official Name | Pettiford W Sharon |
Telephone Number | 9195502648 |
NPI Number Detail
NPI Number | 1194871483 |
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Provider Enumeration Date | 2007-01-27 |
Last Updated Date | 2008-06-16 |
Provider Mailing Address Detail
Address | 161 Kentucky Derby Dr |
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City | Clayton |
State | North Carolina (NC) |
Post Code | 275206080 |
Phone Number | 9195502648 |
Fax Number | 9192201185 |
Provider's Primary Taxonomy Detail
Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
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Taxonomy | 322D00000X |
Licence No | MHL 032275 |
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. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
6603291 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Rose Of Sharon Adolescent Treatment Home by the Centers for Medicare & Medicaid Services?
The Rose Of Sharon Adolescent Treatment Home has been issued the NPI (National Provider Identifier) 1194871483, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Rose Of Sharon Adolescent Treatment Home is physically located?
The Rose Of Sharon Adolescent Treatment Home is physically situated at the following address: 161 Kentucky Derby Dr, Clayton, NC, 275206080.
What is Rose Of Sharon Adolescent Treatment Home's specialized field of practice, and what is the corresponding taxonomy classification code?
The Rose Of Sharon Adolescent Treatment Home's area of specialization is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this field of practice is 322D00000X.
When was the Rose Of Sharon Adolescent Treatment Home's 1194871483 issued?
The Rose Of Sharon Adolescent Treatment Home's 1194871483 was issued on 2007-01-27.
When was the information regarding Rose Of Sharon Adolescent Treatment Home, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Rose Of Sharon Adolescent Treatment Home, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-06-16.
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