Organization Name: | SPECIAL CARE |
NPI Number: | 1326372020 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HENRY L. SIMMONS (PRESIDENT) |
Mailing Address: | 6113 Blue Lantern Rd Gibsonville |
State: | NC US |
Postal Code: | 272498737 |
Phone Number: | 3364495690 |
Fax Number: | 3364494051 |
NPI Enumeration Date: | 09/28/2009 |
NPI Last Update Date: | 09/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310500000X |
License Number: | 041-071 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Intermediate Care Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |