Silverleaf Lodge

LBN: F.A.C.T. Specialized Services, Inc.
Silverleaf Lodge is an health care organization with primary practice located at 109 Silverleaf Dr , Jacksonville NC 28546-7360. 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. F.A.C.T. Specialized Services, Inc. can be contacted via phone (910) 353-1903, or through Winningham, Susan via phone (910) 346-3744.

Contact Information

Primary practice address
109 Silverleaf Dr Jacksonville NC 28546-7360
Phone: (910) 353-1903
Fax: (910) 577-4568
Website:
Map and Directions
Authorized official contact:
Name: Winningham, Susan
Phone: (910) 346-3744

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL067133 North Carolina

Profile Details

NPI number 1447331475
LBN Legal business name F.A.C.T. Specialized Services, Inc.
DBA Doing business as Silverleaf Lodge
Authorized official Winningham, Susan
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 18th, 2006
Last updated Apr 22nd, 2013 - about 11 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 1447331475 NPPES
North Carolina MEDICAID 6603236

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