Edwards Group Home #2

LBN: Edwards Group Home #2
Edwards Group Home #2 is an health care organization with primary practice located at 408 E Main St , Hookerton NC 28538-7225. 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. Edwards Group Home #2 can be contacted via phone (252) 747-4000, or through Mccollum, Thomas via phone (252) 747-4000.

Contact Information

Primary practice address
408 E Main St Hookerton NC 28538-7225
Phone: (252) 747-4000
Fax: (252) 747-2602
Website:
Map and Directions
Authorized official contact:
Name: Mccollum, Thomas
Phone: (252) 747-4000

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X MHL040021 North Carolina

Profile Details

NPI number 1316077944
LBN Legal business name Edwards Group Home #2
DBA Doing business as
Authorized official Mccollum, Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2007
Last updated Jan 10th, 2008 - about 16 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 1316077944 NPPES
North Carolina Other 7804768 PROVIDER NUMBER

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