Organization · Type 2 NPI
Monarch
Intellectual Disabilities Intermediate Care Facility · Wingate, NC
NPI number
1780724708
Active
Practice location
2723 Bobwhite Cir
Wingate, NC 28174-9657
Fax (704) 296-4655
Mailing address
350 Pee Dee Ave, Suite A
Albemarle, NC 28001-4945
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Custodial Care Facility | 311Z00000X | None listed |
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | MHL-090-010 (NC) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1780724708
Monarch's National Provider Identifier is 1780724708, issued on Feb 7, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Wingate, NC. The record was last updated on Mar 31, 2021.