Eason Court Group Home Llc #2

LBN: Eason Court Group Home Llc #2
Eason Court Group Home Llc #2 is an health care organization with primary practice located at 124 Gregory Mnr , Youngsville NC 27596-9614. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Eason Court Group Home Llc #2 can be contacted via phone (919) 556-5355, or through Williams, Sonja Denise via phone (571) 288-4144.

Contact Information

Primary practice address
124 Gregory Mnr Youngsville NC 27596-9614
Phone: (919) 556-5355
Fax: (866) 285-8824
Website:
Map and Directions
Authorized official contact:
Name: Williams, Sonja Denise
Phone: (571) 288-4144

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X MHL 035 050 North Carolina
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X MHL 035 029 North Carolina

Profile Details

NPI number 1003353475
LBN Legal business name Eason Court Group Home Llc #2
DBA Doing business as
Authorized official Williams, Sonja Denise
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2017
Last updated Jan 24th, 2017 - about 7 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 1003353475 NPPES
North Carolina MEDICAID 7804575

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