SOPHIA B PIERCE & ASSOCIATES INC NPI 1699850891

NPI Information

SOPHIA B PIERCE & ASSOCIATES INC is an intermediate care facility mentally retarded in Fayetteville, NC. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. SOPHIA B PIERCE & ASSOCIATES INC NPI is 1699850891. The provider is registered as an organization entity type.
The provider Is Doing Business As Northside Group Home.

The provider's business location address is:

3301 BARKSDALE ROAD
FAYETTEVILLE, NC
ZIP 28301
Phone: (910) 822-4455
Fax: (910) 822-4455

The provider's authorized official is Sophia Blanks Pierce .
The authorized official title is Executive Directive and has the following contact phone number (910) 488-8477.

The CLIA number assigned to this NPI record is 34D2083605 - other - group home with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 12/3/2018.

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:

Other Identifiers

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