Polkton Road

LBN: Guiding Light Youth And Family Services
Polkton Road is an health care organization with primary practice located at 1233 Morningside Meadow Ln , Matthews NC 28104-8553. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Guiding Light Youth And Family Services can be contacted via phone (704) 684-0257, or through Towler, George via phone (704) 684-0257.

Contact Information

Primary practice address
1233 Morningside Meadow Ln Matthews NC 28104-8553
Phone: (704) 684-0257
Fax: (704) 684-0258
Website:
Map and Directions
Authorized official contact:
Name: Towler, George
Phone: (704) 684-0257

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1467599316
LBN Legal business name Guiding Light Youth And Family Services
DBA Doing business as Polkton Road
Authorized official Towler, George
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2007
Last updated Aug 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467599316 NPPES
North Carolina MEDICAID 8300505G
North Carolina MEDICAID 8300505
North Carolina MEDICAID 8300505B

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