NPI Index

SHAUWANNA EDWARDS

Residential Treatment Facility, Physical Disabilities

Active Individual
NPI: 1184493116

Practice Address

504 BRICK KITCHEN RD
Hookerton, NC 28538

Phone: (252) 525-3997

Specialties

Specialty Code Primary License
Day Training, Developmentally Disabled Services 251C00000X No -
Assisted Living Facility - Assisted Living, Mental Illness 3104A0625X No -
Custodial Care Facility - Adult Care Home 311ZA0620X No -
Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320600000X No -
Community Based Residential Treatment Facility, Mental Illness 320800000X No -
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X No -
Residential Treatment Facility, Emotionally Disturbed Children 322D00000X No -
Psychiatric Residential Treatment Facility 323P00000X No -
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child 385HR2060X No -
Respite Care - Respite Care, Physical Disabilities, Child 385HR2065X No -
Residential Treatment Facility, Physical Disabilities 320700000X Yes -

Frequently Asked Questions

NPI 1184493116 is the National Provider Identifier for SHAUWANNA EDWARDS, a Residential Treatment Facility, Physical Disabilities provider located in Hookerton, NC. This NPI was enumerated on January 2, 2024.
SHAUWANNA EDWARDS practices at 504 BRICK KITCHEN RD, Hookerton, NC 28538.

Quick Facts

NPI
1184493116
Type
Individual
Enumerated
Jan 2, 2024
Last Updated
Jan 2, 2024

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