VINCE MARLEY LLC NPI 1134541758

NPI Information

NPI: 1134541758
Provider Name: VINCE MARLEY LLC
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
219 ALBANY ST
BURLINGTON, NC
ZIP 27215
Phone: (336) 226-4103
Get Directions

VINCE MARLEY LLC is a residential treatment facility emotionally disturbed children in Burlington, NC. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. VINCE MARLEY LLC NPI is 1134541758. The provider is registered as an organization entity type.

The provider's business location address is:

219 ALBANY ST
BURLINGTON, NC
ZIP 27215-249
Phone: (336) 226-4103
Fax: (336) 226-5547

The provider's authorized official is Vincent Marley .
The authorized official title is Director and has the following contact phone number (336) 226-4103.

The enumeration date for this NPI number is 1/16/2014 and was last updated on 1/16/2014.

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	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		MHL-001-161	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	6604344	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: 5/5/2024

NPI Synchronization or Removal

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