Individual provider · Type 1 NPI
Tammie Meranda Holloway-Raines, MASTERS MENTAL DISAB
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Roxboro, NC
Practice location
508 Jones St
Roxboro, NC 27573-5018
Mailing address
1130 Allensville Rd
Roxboro, NC 27574-7057
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
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.
About NPI 1609006923
Tammie Meranda Holloway-Raines, MASTERS MENTAL DISAB's National Provider Identifier is 1609006923, issued on Jul 21, 2009. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Roxboro, NC. The record was last updated on Jul 21, 2009.