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MANUEL'S SUPPORTIVE LIVING SERVICES NPI 1881730448


NPI Information

NPI: 1881730448
Provider Name: MANUEL'S SUPPORTIVE LIVING SERVICES
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
107 BAILEYS PARK LN
KINSTON, NC
ZIP 28504
Phone: (252) 527-4052
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MANUEL'S SUPPORTIVE LIVING SERVICES is a community based residential treatment facility mental illness in Kinston, NC. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. MANUEL'S SUPPORTIVE LIVING SERVICES NPI is 1881730448. The provider is registered as an organization entity type.

The provider's business location address is:

107 BAILEYS PARK LN
KINSTON, NC
ZIP 28504-766
Phone: (252) 527-4052

The provider's authorized official is Barbara Manuel .
The authorized official title is Director and has the following contact phone number (252) 527-4052.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 7/19/2007.


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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
2320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

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
18301259BMEDICAIDNORTH 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: 11/14/2023

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