Pitt County Group Home Board For Mentally Retarded, Autistic Persons,
LBN: Pitt County Group Home Board For Mentally Retarded, Autistic Persons,
Pitt County Group Home Board For Mentally Retarded, Autistic Persons, is an health care organization with primary practice located at 2240 Edgewater Dr , Winterville NC 28590-9601. 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.
Pitt County Group Home Board For Mentally Retarded, Autistic Persons, can be contacted via phone (252) 524-4950, or through Bright, Mary Grace via phone (252) 524-4950.
Contact Information
Primary practice address
2240 Edgewater Dr
Winterville NC 28590-9601
Phone: (252) 524-4950
Fax: (252) 524-3870
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | MHL-074-037 | North Carolina |
Profile Details
| NPI number | 1164772489 |
|---|---|
| LBN Legal business name | Pitt County Group Home Board For Mentally Retarded, Autistic Persons, |
| DBA Doing business as | |
| Authorized official | Bright, Mary Grace |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 13th, 2012 |
| Last updated | Sep 13th, 2012 - about 12 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 | 1164772489 | NPPES |
| North Carolina | MEDICAID | 7802610 |
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