NPI 1023302114

Prestigious Homes of Nc INC.

Organisation Physical Disabilities Residential Treatment Facility Deep Run, NC

Practice location

Address: 2094 Will Cunningham Rd, Deep Run, NC 28525-9583
Phone: (252) 521-9340
Mailing address: 834 Pender St, Rocky Mount, NC 27801-5726

Authorised official

Name: Chaka Terrill Jones
Title: Director
Phone: (252) 521-9340

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence FCL033007 (NC)

Other Residential Treatment Facility, Physical Disabilities providers in North Carolina →

Registry record

NPI: 1023302114
Entity type: Organization
NPI issued: 6 Jun 2011
Record last updated: 14 Nov 2012

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.