LOWE FAMILY CARE HOME #3 NPI 1063696565

NPI Information

NPI: 1063696565
Provider Name: LOWE FAMILY CARE HOME #3
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
136 MCQUILLAN DR
WILMINGTON, NC
ZIP 28412
Phone: (910) 791-7067
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LOWE FAMILY CARE HOME #3 is a health service clinic center in Wilmington, NC. LOWE FAMILY CARE HOME #3 NPI is 1063696565. The provider is registered as an organization entity type.

The provider's business location address is:

136 MCQUILLAN DR
WILMINGTON, NC
ZIP 28412-110
Phone: (910) 791-7067

The provider's authorized official is Mattie Lowe .
The authorized official title is Owner and has the following contact phone number (910) 791-7067.

The enumeration date for this NPI number is 12/20/2007 and was last updated on 12/20/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	FCH065011	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7802451	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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