Organization Name: | HINDS' FEETFARM, LLC |
NPI Number: | 1639507676 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARTIN B. FOIL (EXECUTIVE DIRECTOR) |
Mailing Address: | 14645 Black Farms Rd Huntersville |
State: | NC US |
Postal Code: | 28078 |
Phone Number: | 7049921424 |
Fax Number: | 7049921423 |
NPI Enumeration Date: | 10/30/2013 |
NPI Last Update Date: | 10/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320900000X |
License Number: | MHL-060-1257 |
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. |