Organization Name: | TANJER HOUSE |
NPI Number: | 1285019471 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CARLA HILL (PROGRAM DIRECTOR) |
Mailing Address: | 260 Oak Park Dr Brevard |
State: | NC US |
Postal Code: | 287123022 |
Phone Number: | 8288842550 |
Fax Number: | 8288843102 |
NPI Enumeration Date: | 07/29/2015 |
NPI Last Update Date: | 12/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320600000X |
License Number: | MHL088026 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Residential Treatment Facility, Mental Retardation and/or Developmental 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. |