MIMS MANOR LLC NPI 1801950191

NPI Information

MIMS MANOR LLC is a residential treatment facility emotionally disturbed children in Wilmington, 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. MIMS MANOR LLC NPI is 1801950191. The provider is registered as an organization entity type.

The provider's business location address is:

621 PLYMOUTH DR
WILMINGTON, NC
ZIP 28405-544
Phone: (910) 796-9040

The provider's authorized official is Terry Mims .
The authorized official title is Owner and has the following contact phone number (910) 273-5838.

The enumeration date for this NPI number is 12/20/2006 and was last updated on 7/10/2007.

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:

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