Pamela L Boyd
Individual provider Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Winterville, NC
NPI 1104608678 · NPPES record last updated Oct 18, 2023
Key facts
- NPI
- 1104608678
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
- Practice address
- 2928 Fox Glove Dr
Winterville, NC 28590-7119 - Phone
- (804) 677-0020
- NPI assigned
- Oct 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | |||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Yes |
Addresses
Primary practice location
2928 Fox Glove Dr
Winterville, NC 28590-7119
Mailing address
2928 Fox Glove Dr
Winterville, NC 28590-7119
Phone (804) 677-0020
Other providers in Winterville, NC
- Bio-Medical Applications of North Carolina, Inc.
- Jennifer Nicole Black
- Savannah Leigh Black
- Sarah Blakely
- Blue Star Transit
- Louise Bradshaw
- Avery Rae Braswell
- Bradlee Jerome Bray
- Breathe Ez Homecare
- Bright Star Enrichment Agency
All providers in Winterville, NC · Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.