NPI 1013210129
Ktv Alive
Practice location
- Address
- 1665 Lower Moncure Road, Sanford, NC 27330-6403
- Phone
- (919) 774-1135
- Mailing address
- PO Box 3284, Sanford, NC 27331-2384
Authorised official
- Name
- Phaedra N Taylor
- Title
- Director
- Phone
- (919) 774-1135
Registered specialties (2)
Foster Care Agency
Primary
Case Management Agency
Registry record
- NPI
- 1013210129
- Entity type
- Organization
- NPI issued
- 10 Dec 2010
- Record last updated
- 10 Dec 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.