Full Potential,Llc

LBN: Full Potential,Llc
Full Potential,Llc is an health care organization with primary practice located at 7238 Pebblebrook Dr , Fayetteville NC 28314-5232. 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. Full Potential,Llc can be contacted via phone (910) 670-1989, or through Johnson, Jerome S via phone (910) 670-1989.

Contact Information

Primary practice address
7238 Pebblebrook Dr Fayetteville NC 28314-5232
Phone: (910) 670-1989
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Jerome S Bachelor of Arts (BA)
Phone: (910) 670-1989

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X MHL026799 North Carolina

Profile Details

NPI number 1639219348
LBN Legal business name Full Potential,Llc
DBA Doing business as
Authorized official Johnson, Jerome S Bachelor of Arts (BA)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1639219348 NPPES
North Carolina MEDICAID 6603827

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