Individual provider · Type 1 NPI
Bertina Scott
Adult Care Home Facility · New London, NC
NPI number
1255760245
Active
Practice location
43653 Colonial Heights Rd
New London, NC 28127-9580
Mailing address
403 Knollwood Cir
Albemarle, NC 28001-9689
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | MHL084107 (NC) |
| Adult Care Home Facility Primary | 311ZA0620X | MHL084107 (NC) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
About NPI 1255760245
Bertina Scott's National Provider Identifier is 1255760245, issued on Nov 11, 2013. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in New London, NC. The record was last updated on Nov 24, 2023.