1St & 10 Group Home Inc

LBN: 1St & 10 Group Home Inc
1St & 10 Group Home Inc is an health care organization with primary practice located at 206 North East Street , Rosebore NC 28382-1353. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. 1St & 10 Group Home Inc can be contacted via phone (910) 525-5488, or through Mcphail, Jerris Cornelius via phone (910) 299-0099.

Contact Information

Primary practice address
206 North East Street Rosebore NC 28382-1353
Phone: (910) 525-5488
Fax: (910) 525-5433
Website:
Map and Directions
Authorized official contact:
Name: Mcphail, Jerris Cornelius
Phone: (910) 299-0099

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL082059 North Carolina

Profile Details

NPI number 1538234372
LBN Legal business name 1St & 10 Group Home Inc
DBA Doing business as
Authorized official Mcphail, Jerris Cornelius
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2006
Last updated Mar 28th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538234372 NPPES
North Carolina MEDICAID 6603962

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