At Home Care Sweetmore Drive

Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Ayden, NC

NPI 1609182385 · NPPES record last updated Aug 19, 2010

Key facts

NPI
1609182385
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
Legal business name
AT HOME CARE SWEETMORE DRIVE
Practice address
6067 Sweetmore Dr
Ayden, NC 28513-8301
Phone
(252) 746-8800
NPI assigned
Aug 19, 2010
Organization subpart
No

Authorized official

Name
Mr. Bland Gardner Sr.
Title
Facility Director
Phone
(804) 520-7108

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Yes

Addresses

Primary practice location

6067 Sweetmore Dr
Ayden, NC 28513-8301

Mailing address

6067 Sweetmore Dr
Ayden, NC 28513-8301
Phone (252) 746-8800

Other providers in Ayden, NC

All providers in Ayden, NC · Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

Sources for this page

Verify at the official NPI Registry.