Making A Difference Community Support Llc

LBN: Making A Difference Community Support Llc
Making A Difference Community Support Llc is an health care organization with primary practice located at 102 Old Tom Ave. , Manteo NC 27954. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Rehabilitation. Ambulatory Health Care Facilities / Rehabilitation is the primary health care specialty. Making A Difference Community Support Llc can be contacted via phone (252) 475-9829, or through Benton, Shanequa Cornise via phone (252) 475-9829.

Contact Information

Primary practice address
102 Old Tom Ave. Manteo NC 27954
Phone: (252) 475-9829
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Benton, Shanequa Cornise
Phone: (252) 475-9829

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 261QM0850X North Carolina
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 261QM0855X North Carolina
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X 261QR0400X North Carolina

Profile Details

NPI number 1912186735
LBN Legal business name Making A Difference Community Support Llc
DBA Doing business as
Authorized official Benton, Shanequa Cornise
Entity Organization
Organization subpart 1 No
Enumeration date Oct 29th, 2007
Last updated Nov 1st, 2007 - about 19 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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