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HARVEST CARE OF NORTH CAROLINA LLC NPI 1598943953


NPI Information

NPI: 1598943953
Provider Name: HARVEST CARE OF NORTH CAROLINA, LLC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
503 THURSTON DR W
WILSON, NC
ZIP 27893
Phone: (252) 363-4122
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HARVEST CARE OF NORTH CAROLINA, LLC is a community based residential treatment facility mental illness in Wilson, NC. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. HARVEST CARE OF NORTH CAROLINA, LLC NPI is 1598943953. The provider is registered as an organization entity type.

The provider's business location address is:

503 THURSTON DR W
WILSON, NC
ZIP 27893-858
Phone: (252) 363-4122

The provider's authorized official is Chandra Revis Pegues .
The authorized official title is Director and has the following contact phone number (252) 363-4122.

The enumeration date for this NPI number is 2/7/2008 and was last updated on 6/19/2008.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessMHL-098-122NORTH CAROLINAYes

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

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