Organization · Type 2 NPI
Nova Ic, Inc.
Intellectual Disabilities Intermediate Care Facility · La Grange, NC
NPI number
1447499330
Active
Practice location
405 W Washington St
La Grange, NC 28551-1623
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-054-019 (NC) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Other intellectual disabilities intermediate care facility providers in La Grange
About NPI 1447499330
Nova Ic, Inc.'s National Provider Identifier is 1447499330, issued on Feb 17, 2009. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in La Grange, NC. The record was last updated on Sep 23, 2026.