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MARION E. WALL NPI 1114106077


NPI Information

NPI: 1114106077
Provider Name: MARION E. WALL

Doing Business As: CAPE FEAR ADULT DAY HEALTH CARE CENTER

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
920 STAMPER RD
FAYETTEVILLE, NC
ZIP 28303
Phone: (910) 323-4424
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MARION E. WALL is an adult day care clinic center in Fayetteville, NC. MARION E. WALL NPI is 1114106077. The provider is registered as an organization entity type.
The provider Is Doing Business As Cape Fear Adult Day Health Care Center.

The provider's business location address is:

920 STAMPER RD
FAYETTEVILLE, NC
ZIP 28303-138
Phone: (910) 323-4424
Fax: (910) 323-3622

The provider's authorized official is Marion Elizabeth Wall .
The authorized official title is Director/owner and has the following contact phone number (910) 323-4424.

The enumeration date for this NPI number is 10/29/2007 and was last updated on 6/24/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA0600XClinic/CenterAdult Day CareYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13408729MEDICAIDNORTH 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

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