NPI 1164762035 JUDITH'S HOUSE FUQUAY VARINA NC. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Judith's House - NPI: 1164762035

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: JUDITH'S HOUSE
NPI Number: 1164762035
Entity Type Code: Organizational (2)
Authorized Official Name: JUDITH G DEAN
(PROVIDER)
Mailing Address: 2625 Mary Marvin Trl
Fuquay Varina
State: NC US
Postal Code: 275269641
Phone Number: 9196392947
Fax Number:
NPI Enumeration Date: 02/28/2013
NPI Last Update Date: 02/28/2013
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 320900000X
License Number: MHL-092-496
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.


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