Providential Facility Services, Llc

LBN: Providential Facility Services, Llc
Providential Facility Services, Llc is an health care organization with primary practice located at 611 Ford St , Greenville NC 27834-2935. 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. Providential Facility Services, Llc can be contacted via phone (252) 902-2617, or through Randolpf, Joseph Coy via phone (252) 902-2617.

Contact Information

Primary practice address
611 Ford St Greenville NC 27834-2935
Phone: (252) 902-2617
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Randolpf, Joseph Coy
Phone: (252) 902-2617

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1144510157
LBN Legal business name Providential Facility Services, Llc
DBA Doing business as
Authorized official Randolpf, Joseph Coy
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2011
Last updated Apr 11th, 2011 - about 14 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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