Organization · Type 2 NPI
Nova Ic, Inc.
Intellectual Disabilities Intermediate Care Facility · Goldsboro, NC
NPI number
1043459852
Active
Practice location
1509 E Holly St
Goldsboro, NC 27530-3033
Fax (919) 735-6825
Mailing address
PO Box 11077
Goldsboro, NC 27532-1077
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | MHL-096-114 (NC) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1043459852
Nova Ic, Inc.'s National Provider Identifier is 1043459852, issued on Feb 18, 2009. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Goldsboro, NC. The record was last updated on Sep 23, 2026.