KIM LANDRY NPI 1871202366

NPI Information

NPI: 1871202366
Provider Name: KIM LANDRY
Classification: Assisted Living Facility - 3104A0625X
Entity Type: Individual

Specialization: Assisted Living, Mental Illness

Address:
1029 WAYSIDE RD
FAYETTEVILLE, NC
ZIP 28314
Phone: (910) 303-1702
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Kim Landry is an assisted living and mental illness assisted living facility in Fayetteville, NC. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. Kim Landry NPI is 1871202366. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1029 WAYSIDE RD
FAYETTEVILLE, NC
ZIP 28314-084
Phone: (910) 303-1702

The enumeration date for this NPI number is 11/23/2022 and was last updated on 2/27/2024.

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	3104A0625X	Assisted Living Facility	Assisted Living, Mental Illness			Yes

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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