Evangelistic Deliverance Center Adult Group Home

LBN: Evangelistic Deliverance Center Adult Group Home
Evangelistic Deliverance Center Adult Group Home is an health care organization with primary practice located at 1302 Saint Andrew St , Tarboro NC 27886-3032. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Evangelistic Deliverance Center Adult Group Home can be contacted via phone (252) 823-3699, or through Dickens, Patricia Williams via phone (252) 823-3699.

Contact Information

Primary practice address
1302 Saint Andrew St Tarboro NC 27886-3032
Phone: (252) 823-3699
Fax: (252) 641-1681
Website:
Map and Directions
Authorized official contact:
Name: Dickens, Patricia Williams
Phone: (252) 823-3699

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1851589659
LBN Legal business name Evangelistic Deliverance Center Adult Group Home
DBA Doing business as
Authorized official Dickens, Patricia Williams
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 2007
Last updated Oct 7th, 2007 - 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.

Request for update

Popular Providers