Fairley Support Group Home Inc.

LBN: Fairley Support Group Home Inc.
Fairley Support Group Home Inc. is an health care organization with primary practice located at 12519 Us Hwy 501 South , Maxton NC 28364. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Fairley Support Group Home Inc. can be contacted via phone (910) 844-1880, or through Fairley, Tony Melvin via phone (910) 844-1880.

Contact Information

Primary practice address
12519 Us Hwy 501 South Maxton NC 28364
Phone: (910) 844-1880
Fax: (910) 844-1880
Website:
Map and Directions
Authorized official contact:
Name: Fairley, Tony Melvin
Phone: (910) 844-1880

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X MHL-078-174 North Carolina

Profile Details

NPI number 1710170238
LBN Legal business name Fairley Support Group Home Inc.
DBA Doing business as
Authorized official Fairley, Tony Melvin
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2007
Last updated Aug 20th, 2007 - about 18 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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