Organization · Type 2 NPI
Nova Ic, Inc.
Intellectual Disabilities Intermediate Care Facility · Mount Olive, NC
NPI number
1841439650
Active
Practice location
135 Daughtry Field Road
Mount Olive, NC 28365-7347
Fax (919) 735-6825
Mailing address
PO Box 11077
Goldsboro, NC 27532-1077
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | MHL-096-037 (NC) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1841439650
Nova Ic, Inc.'s National Provider Identifier is 1841439650, issued on Feb 18, 2009. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Mount Olive, NC. The record was last updated on Sep 23, 2026.