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 6570 Fairway Dr , Grifton NC 28530-0009. 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
6570 Fairway Dr Grifton NC 28530-0009
Phone: (252) 524-4950
Fax: (252) 524-3870
Website:
Map and Directions
Authorized official contact:
Name: Bright, Mary Grace
Phone: (252) 524-4950

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X MHL-074-003 North Carolina

Profile Details

NPI number 1164773065
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 Oct 2nd, 2012
Last updated Nov 16th, 2012 - about 13 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 1164773065 NPPES
North Carolina MEDICAID 3406304

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