Organization · Type 2 NPI

Thank You Lord(tyl)

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

NPI number 1699080705 Active

Practice location

2612 Winstead Rd
Rocky Mount, NC 27804-4127

Call (252) 200-4218 Map

Fax (252) 200-4418

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XMHL064-107 (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 1699080705

Thank You Lord(tyl)'s National Provider Identifier is 1699080705, issued on Aug 12, 2010. 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 Aug 12, 2010.