Rose Of Sharon Adolescent Treatment Home
LBN: Rose Of Sharon Adolescent Treatment Home
Rose Of Sharon Adolescent Treatment Home is an health care organization with primary practice located at 13 Rhyn Ct , Durham NC 27704-2359. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty.
Rose Of Sharon Adolescent Treatment Home can be contacted via phone (919) 220-2492, or through Pettiford, Sharon W via phone (919) 550-2648.
Contact Information
Primary practice address
13 Rhyn Ct
Durham NC 27704-2359
Phone: (919) 220-2492
Fax: (919) 550-2648
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | MHL 032275 | North Carolina |
Profile Details
NPI number | 1194871483 |
---|---|
LBN Legal business name | Rose Of Sharon Adolescent Treatment Home |
DBA Doing business as | |
Authorized official | Pettiford, Sharon W |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Jan 27th, 2007 |
Last updated | Jun 16th, 2008 - about 16 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 | 1194871483 | NPPES |
North Carolina | MEDICAID | 6603291 |
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