Organization Name: | PRESTIGIOUS HOMES OF NC INC. |
NPI Number: | 1023302114 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHAKA TERRILL JONES (DIRECTOR) |
Mailing Address: | 2094 Will Cunningham Rd Deep Run |
State: | NC US |
Postal Code: | 285259583 |
Phone Number: | 2525219340 |
Fax Number: | |
NPI Enumeration Date: | 06/06/2011 |
NPI Last Update Date: | 11/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320700000X |
License Number: | FCL033007 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Residential Treatment Facility, Physical Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |