Randolph Vocational Workshop, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

RANDOLPH VOCATIONAL WORKSHOP, INC.

Practice address

731 Farr St
Asheboro, NC 27203-4822

Phone

(336) 629-0573

Fax

(336) 629-8476

NPI assigned

Oct 27, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Eddie Wyatt Davis

Title

Director

Phone

(336) 629-0573

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063598688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1367",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272041367",
            "telephone_number": "336-629-0573",
            "fax_number": "336-629-8476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 FARR ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272034822",
            "telephone_number": "336-629-0573",
            "fax_number": "336-629-8476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOLPH VOCATIONAL WORKSHOP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "WYATT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-629-0573",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Asheboro, NC
• Providers in Asheboro, NC by specialty
• Developmentally Disabled Services Day Training Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.