Organization Name: | ANGELO'S CARE HOME, INC. |
NPI Number: | 1487718540 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CINDY LOCKLEAR (DIRECTOR) |
Mailing Address: | 10091 Us Highway 74 W Maxton |
State: | NC US |
Postal Code: | 283648936 |
Phone Number: | 9105211895 |
Fax Number: | 9105217220 |
NPI Enumeration Date: | 12/21/2006 |
NPI Last Update Date: | 05/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320700000X |
License Number: | MHL-078-138 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Residential Treatment Facility, Physical 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. |