Miss Daisy'S Gentlemen Of The Future Inc.
LBN: Miss Daisy'S Gentlemen Of The Future Inc.
Miss Daisy'S Gentlemen Of The Future Inc. is an health care organization with primary practice located at 304 Fairview Ave Sw , Wilson NC 27893-4817. 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.
Miss Daisy'S Gentlemen Of The Future Inc. can be contacted via phone (252) 293-4683, or through Johnson, Tonya Fuller via phone (252) 363-5446.
Contact Information
Primary practice address
304 Fairview Ave Sw
Wilson NC 27893-4817
Phone: (252) 293-4683
Fax: (252) 291-6962
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | MHL098100 | North Carolina |
Profile Details
| NPI number | 1033204300 |
|---|---|
| LBN Legal business name | Miss Daisy'S Gentlemen Of The Future Inc. |
| DBA Doing business as | |
| Authorized official | Johnson, Tonya Fuller |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 4th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033204300 | NPPES |
| North Carolina | MEDICAID | 6603888 |
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