Walk By Faith Adult Health & Day Care Llc

LBN: Walk By Faith Adult Health & Day Care Llc
Walk By Faith Adult Health & Day Care Llc is an health care organization with primary practice located at 1004 W Broad St , Dunn NC 28334-4708. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Day Care, Managed Care Organizations / Point of Service, Nursing & Custodial Care Facilities / Custodial Care Facility, Respite Care Facility / Respite Care. Respite Care Facility / Respite Care is the primary health care specialty. Walk By Faith Adult Health & Day Care Llc can be contacted via phone (910) 891-2770, or through Jackson, Deangelo via phone (910) 891-2770.

Contact Information

Primary practice address
1004 W Broad St Dunn NC 28334-4708
Fax: (910) 891-2771
Website:
Authorized official contact:
Name: Jackson, Deangelo

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X PE KX5D1Z7TA North Carolina
Managed Care Organizations / Point of Service 305S00000X PE-KX5D1Z7TA North Carolina
Nursing & Custodial Care Facilities / Custodial Care Facility 311Z00000X PE-KX5D1Z7TA North Carolina
Respite Care Facility / Respite Care 385H00000X PE-KX5D1Z7TA North Carolina

Profile Details

NPI number 1760897771
LBN Legal business name Walk By Faith Adult Health & Day Care Llc
DBA Doing business as
Authorized official Jackson, Deangelo
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2014
Last updated Feb 12th, 2015 - about 10 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 1760897771 NPPES
North Carolina MEDICAID 40312372

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