PEOPLE ACHIEVING LIVING SKILL NPI 1124164595

NPI Information

NPI: 1124164595
Provider Name: PEOPLE ACHIEVING LIVING SKILL
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
200 N 13TH ST
SUITE 3B
ERWIN, NC
ZIP 28339
Phone: (910) 897-4311
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PEOPLE ACHIEVING LIVING SKILL is a residential treatment facility, intellectual and/or developmental disabilities in Erwin, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. PEOPLE ACHIEVING LIVING SKILL NPI is 1124164595. The provider is registered as an organization entity type.

The provider's business location address is:

200 N 13TH ST
SUITE 3B
ERWIN, NC
ZIP 28339-700
Phone: (910) 897-4311
Fax: (910) 897-4342

The provider's authorized official is Pamela Terry .
The authorized official title is Ceo and has the following contact phone number (910) 897-4311.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 8/22/2020.

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, Intellectual and/or Developmental Disabilities		MHL043062	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8301279 B	MEDICAID	NORTH CAROLINA
2	3408775	MEDICAID	NORTH CAROLINA

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: 4/28/2024

NPI Synchronization or Removal

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