Burklo Home, Inc
Organization Active NPI Community/Behavioral Health Agency · Hubert, NC
NPI 1659577682 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1659577682
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 9999999 (NC)
- Legal business name
- BURKLO HOME, INC
- Practice address
- 416 Foxtrace LN
Hubert, NC 28539-4484 - Phone
- (910) 325-6043
- Fax
- (910) 401-1777
- NPI assigned
- Jun 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Linda Kay Burklo, BSN
- Title
- Ceo, Owner
- Phone
- (910) 325-6043
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 9999999 | NC | Yes |
Addresses
Primary practice location
416 Foxtrace LN
Hubert, NC 28539-4484
Mailing address
416 Foxtrace LN
Hubert, NC 28539-4484
Phone (910) 325-6043
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8300869 | Medicaid | NC | |
| 3408253 | Medicaid | NC | |
| 8300869B | Medicaid | NC |
Other providers in Hubert, NC
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- Marilyn Jean Boehm
- Tamela Joan Bryan
- Melissa Buckalew
- Tiffany Rita-Jane Burnett
- Callie Kay Byron
- Gay Cabral
- Jervie May Bergado Calubaquib
- Carobell, Inc.
All providers in Hubert, NC · Community/Behavioral Health Agency 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 Aug 22, 2020. 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.