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NOVA I.C. INC. NPI 1063438695

NPI Profile

NPI: 1063438695

Provider Name: NOVA I.C. INC.

Classification: Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

Entity Type: Organization

Address:
102 W PATETOWN RD
2307 NORWOOD AVENUE
GOLDSBORO, NC
ZIP 27530

Phone: (919) 751-1083

NOVA I.C. INC. is a residential treatment facility, mental retardation and/or developmental disabilities in Goldsboro, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. NOVA I.C. INC. NPI is 1063438695. The provider is registered as an organization entity type.

The provider's business location address is:

102 W PATETOWN RD
2307 NORWOOD AVENUE
GOLDSBORO, NC
ZIP 27530-415
Phone: (919) 751-1083
Fax: (919) 735-9643

The provider's authorized official is John E. Ford .
The authorized official title is Ceo President and has the following contact phone number (919) 735-8887.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 7/28/2008.

Map - Location of Practice

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 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities NORTH CAROLINA 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: 6/10/2015