MRS. ROSA HAYWOOD BETHEA BA NPI 1174612329

NPI Information

NPI: 1174612329
Provider Name: MRS. ROSA HAYWOOD BETHEA, BA
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Individual
Address:
711 EXECUTIVE PL
FAYETTEVILLE, NC
ZIP 28305
Phone: (910) 222-6375
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MRS. Rosa Haywood Bethea, BA is a residential treatment facility emotionally disturbed children in Fayetteville, 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. MRS. Rosa Haywood Bethea, BA NPI is 1174612329. 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:

711 EXECUTIVE PL
FAYETTEVILLE, NC
ZIP 28305-193
Phone: (910) 222-6375
Fax: (910) 678-9963

The enumeration date for this NPI number is 10/12/2006 and was last updated on 7/8/2007.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children				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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