Organization Name: | HOUSE OF CARE, INC |
NPI Number: | 1063854503 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | OGO EMODI-ONWUKA (DIRECTOR) |
Mailing Address: | 109 Deer Farm Ln Willow Spring |
State: | NC US |
Postal Code: | 275928505 |
Phone Number: | 9194936871 |
Fax Number: | 9194936878 |
NPI Enumeration Date: | 07/25/2013 |
NPI Last Update Date: | 07/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320900000X |
License Number: | MHL-051-189 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |