Southwood Place Group And Developmental Center, Inc.

LBN: Southwood Place Group And Developmental Center, Inc.
Southwood Place Group And Developmental Center, Inc. is an health care organization with primary practice located at 1407 Southwood Pl , Monroe NC 28112-6370. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Southwood Place Group And Developmental Center, Inc. can be contacted via phone (704) 283-3099, or through Ivey, Annie A via phone (704) 283-3099.

Contact Information

Primary practice address
1407 Southwood Pl Monroe NC 28112-6370
Phone: (704) 283-3099
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ivey, Annie A
Phone: (704) 283-3099

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1265567259
LBN Legal business name Southwood Place Group And Developmental Center, Inc.
DBA Doing business as
Authorized official Ivey, Annie A
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2007
Last updated Jul 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265567259 NPPES
North Carolina MEDICAID 3409555

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