NPI 1508003443

Carolina Humana INC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Rocky Mount, NC

Practice location

Address: 1008 Wilkins St, Rocky Mount, NC 27803-3822
Phone: (252) 454-0011
Fax: (252) 454-0011

Authorised official

Name: Demetrius Rayshaun Thompson
Title: Executive Director
Phone: (252) 454-0011

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence MHL-064-097 (NC)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in North Carolina →

Registry record

NPI: 1508003443
Entity type: Organization
NPI issued: 14 Jan 2009
Record last updated: 14 Jan 2009

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.