EVERGREEN ROAD FACILITY
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Active
Organization
NPI: 1043409584
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 320600000X | Yes | 064-079 (NC) |
Frequently Asked Questions
NPI 1043409584 is the National Provider Identifier for EVERGREEN ROAD FACILITY, a Residential Treatment Facility, Intellectual and/or Developmental Disabilities provider located in Rocky Mount, NC. This NPI was enumerated on October 22, 2007.
Quick Facts
- NPI
- 1043409584
- Type
- Organization
- Enumerated
- Oct 22, 2007
- Last Updated
- Oct 22, 2007
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CHARLES PHILLIPS, PA
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DR. BENNIE JARVIS, M.D.
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