JOAN M WHITE NPI 1427879022

NPI Information

  • NPI: 1427879022
  • Provider Name: JOAN M WHITE
  • Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
  • Entity Type: Individual
  • Address: 4505 KIMBALL LN
    WINSTON SALEM, NC
    ZIP 27105
  • Phone: (336) 682-0262

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NPI Details

Joan M White is a residential treatment facility, intellectual and/or developmental disabilities in Winston Salem, 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. Joan M White NPI is 1427879022. 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:

4505 KIMBALL LN
WINSTON SALEM, NC
ZIP 27105-212
Phone: (336) 682-0262
Fax: (336) 600-2350

The enumeration date for this NPI number is 10/17/2024 and was last updated on 10/17/2024.

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
1320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities034-417NORTH CAROLINAYes

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: 3/30/2025

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