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WATLINGTON FAMILY CARE NPI 1205976347


NPI Information

NPI: 1205976347
Provider Name: WATLINGTON FAMILY CARE
Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization

Specialization: Assisted Living, Mental Illness

Address:
1401 SHERROD WATLINGTON CIR
GREENSBORO, NC
ZIP 27406
Phone: (336) 254-9662
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WATLINGTON FAMILY CARE is an assisted living and mental illness assisted living facility in Greensboro, 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. WATLINGTON FAMILY CARE NPI is 1205976347. The provider is registered as an organization entity type.

The provider's business location address is:

1401 SHERROD WATLINGTON CIR
GREENSBORO, NC
ZIP 27406-463
Phone: (336) 254-9662
Fax: (336) 292-3465

The provider's authorized official is Romulus Thurman Watlington .
The authorized official title is Owner and has the following contact phone number (336) 254-9662.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 12/3/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13104A0625XAssisted Living FacilityAssisted Living, Mental IllnessMHL-041-775NORTH CAROLINAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17802911MEDICAIDNORTH CAROLINA
27801734MEDICAIDNORTH CAROLINA
37805686MEDICAIDNORTH 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

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