Organization · Type 2 NPI
Lakeview
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Goldsboro, NC
Practice location
103 Lakeview Dr
Goldsboro, NC 27530-1125
Fax (919) 734-9926
Mailing address
PO Box 1017
Goldsboro, NC 27533-1017
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | MHL-096-092 (NC) |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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About NPI 1366677361
Lakeview's National Provider Identifier is 1366677361, issued on May 19, 2009. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Goldsboro, NC. The record was last updated on May 19, 2009.