Care of Diversity, LLC
Organization Active NPI Adult Care Home Facility · Eden, NC
NPI 1457717548 · NPPES record last updated Jan 6, 2016
Key facts
- NPI
- 1457717548
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Care Home Facility 311ZA0620X
- License
- FCL-079-101 (NC)
- Legal business name
- CARE OF DIVERSITY, LLC
- Practice address
- 1235 Norman Dr
Apt 1B
Eden, NC 27288-5978 - Phone
- (336) 627-3336
- NPI assigned
- Jan 6, 2016
- Organization subpart
- No
Authorized official
- Name
- Senetra Reynolds
- Title
- Member/Administrator
- Phone
- (336) 627-3336
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | FCL-079-101 | NC | Yes |
Addresses
Primary practice location
1235 Norman Dr
Apt 1B
Eden, NC 27288-5978
Mailing address
104 Boulevard
Eden, NC 27288-5220
Other providers in Eden, NC
- Steven E Burdine
- Lillian P Burke
- Michael D Burleson
- But God LLC
- Care First Home Health Care, Inc
- Carolina Apothecary Inc
- Carolina Prime Residential LLC
- Aaron Carpenter
- Joe Gray Carpenter
- Erin Jones Carroll
All providers in Eden, NC · Adult Care Home 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 Jan 6, 2016. 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.