1255574810 NPI number — FINDING YOUR WAY HOMES, INC

Table of content: (NPI 1255574810)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255574810 NPI number — FINDING YOUR WAY HOMES, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FINDING YOUR WAY HOMES, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1255574810
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/13/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 213
Provider Second Line Business Mailing Address:
280 SANDY RIDGE CHURCH ROAD
Provider Business Mailing Address City Name:
MORVEN
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28119-0213
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
704-851-9033
Provider Business Mailing Address Fax Number:
704-851-3207

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10442 HIGHWAY 145 SOUTH
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MORVEN
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28119-9452
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-851-3081
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/13/2009

Additional Information

Authorized Official

Authorized Official Last Name:
POWE
Authorized Official First Name:
CLEVELAND
Authorized Official Middle Name:
KEITH
Authorized Official Title or Position:
BUSINESS DIRECTOR
Authorized Official Telephone Number:
704-851-9033

Provider Taxonomy Codes

  • Taxonomy code: 322D00000X , with the licence number:  MHL-004-011 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 6604135 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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