NOVA-IC, INC. is an intermediate care facility mentally retarded in Goldsboro, NC. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. NOVA-IC, INC. NPI is 1043459852. The provider is registered as an organization entity type.
The provider Other Name Is Holly Street Home.
The provider's business location address is:
1509 HOLLY STREET
GOLDSBORO, NC
ZIP 27534-033
Phone: (919) 735-4736
Fax: (919) 735-6825
The provider's authorized official is Tracey Pridgen .
The authorized official title is Cfo and has the following contact phone number (919) 734-8803.
The CLIA number assigned to this NPI record is 34D2147871 - intermediate care facility/individuals with intellectual disability with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/18/2009 and was last updated on 10/5/2021.