Organization · Type 2 NPI

Carolina Humana Inc

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Rocky Mount, NC

NPI number 1508003443 Active

Practice location

1008 Wilkins St
Rocky Mount, NC 27803-3822

Call (252) 454-0011 Map

Fax (252) 454-0011

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XMHL-064-097 (NC)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1508003443

Carolina Humana Inc's National Provider Identifier is 1508003443, issued on Jan 14, 2009. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Rocky Mount, NC. The record was last updated on Jan 14, 2009.