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EBENEZER CHRISTIAN CHILDRENS HOME NPI 1881866002


NPI Information

NPI: 1881866002
Provider Name: EBENEZER CHRISTIAN CHILDRENS HOME

Former Legal Business Name: EBENEZER GARDEN CHRISTIAN CHILDRENS HOME

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
1006 BYRD RIDGE RD
NORTH WILKESBORO, NC
ZIP 28659
Phone: (336) 667-5683
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EBENEZER CHRISTIAN CHILDRENS HOME is a residential treatment facility emotionally disturbed children in North Wilkesboro, 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. EBENEZER CHRISTIAN CHILDRENS HOME NPI is 1881866002. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Ebenezer Garden Christian Childrens Home.

The provider's business location address is:

1006 BYRD RIDGE RD
NORTH WILKESBORO, NC
ZIP 28659-044
Phone: (336) 667-5683
Fax: (336) 667-8634

The provider's authorized official is Jean Davis .
The authorized official title is Executive Director and has the following contact phone number (336) 667-5683.

The enumeration date for this NPI number is 3/27/2008 and was last updated on 3/27/2008.


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
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-097-061NORTH 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: 5/5/2024

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