Individual provider · Type 1 NPI
Shauwanna Nicole Edwards
Physical Disabilities Residential Treatment Facility · Hookerton, NC
NPI number
1184493116
Active
Practice location
504 Brick Kitchen Rd
Hookerton, NC 28538-7010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | None listed |
| Assisted Living Facility (Mental Illness) | 3104A0625X | None listed |
| Adult Care Home Facility | 311ZA0620X | None listed |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | None listed |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | None listed |
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | None listed |
| Psychiatric Residential Treatment Facility | 323P00000X | None listed |
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | None listed |
| Child Physical Disabilities Respite Care | 385HR2065X | None listed |
| Physical Disabilities Residential Treatment Facility Primary | 320700000X | None listed |
Physical Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
About NPI 1184493116
Shauwanna Nicole Edwards's National Provider Identifier is 1184493116, issued on Jan 2, 2024. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in Hookerton, NC. The record was last updated on Jan 2, 2024.