NPI 1184493116
Shauwanna Nicole Edwards
Practice location
- Address
- 504 Brick Kitchen Rd, Hookerton, NC 28538-7010
- Phone
- (252) 525-3997
Registered specialties (11)
Physical Disabilities Residential Treatment Facility
Primary
Developmentally Disabled Services Day Training Agency
Assisted Living Facility (Mental Illness)
Adult Care Home Facility
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Mental Illness Community Based Residential Treatment Facility
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Emotionally Disturbed Childrens' Residential Treatment Facility
Psychiatric Residential Treatment Facility
Child Intellectual and/or Developmental Disabilities Respite Care
Child Physical Disabilities Respite Care
Registry record
- NPI
- 1184493116
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 Jan 2024
- Record last updated
- 2 Jan 2024
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.