Organization Name: | FOTI ENTERPRISES, LLC |
NPI Number: | 1205199213 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANTHONYH FOTI SKLAVOUNAKIS (EXECUTIVE DIRECTOR) |
Mailing Address: | 1639 Sneed Rd Shelby |
State: | NC US |
Postal Code: | 281508105 |
Phone Number: | 7048076129 |
Fax Number: | 7048024213 |
NPI Enumeration Date: | 06/25/2012 |
NPI Last Update Date: | 06/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320900000X |
License Number: | MHL-023-181 |
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. |