Organization · Type 2 NPI
New River Cottage, Inc.
Intellectual Disabilities Intermediate Care Facility · Sparta, NC
NPI number
1619984283
Active
Practice location
82 Davis Lane
Sparta, NC 28675-0488
Fax (336) 372-5672
Mailing address
PO Box 488, 82 Davis Lane
Sparta, NC 28675-0488
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | MHL003003 (NC) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1619984283
New River Cottage, Inc.'s National Provider Identifier is 1619984283, issued on Aug 3, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Sparta, NC. The record was last updated on Aug 22, 2020.