Monica Marsh
Individual provider Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Liberty, NC
NPI 1770947137 · NPPES record last updated Apr 11, 2016
Key facts
- NPI
- 1770947137
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
- License
- MHL-076-125 (NC)
- Practice address
- 615 E Swannanoa Ave
Liberty, NC 27298-3002 - Phone
- (336) 622-0252
- Fax
- (336) 622-0252
- NPI assigned
- Apr 11, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MHL-076-125 | NC | MD | Intellectual and/or Developmental Disabilities Residential Treatment Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marsh'S Residential Living, LLC | Residential Treatment Facility, Intellectual and/Or Developmental Disabilities | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | MHL-076-125 | NC | Yes |
Addresses
Primary practice location
615 E Swannanoa Ave
Liberty, NC 27298-3002
Mailing address
615 E Swannanoa Ave
Liberty, NC 27298-3002
Phone (336) 633-0252
Other providers in Liberty, NC
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- Sheri Dedeen Lineberry
- Mainstreet and Kidsstreet of North Carolina PLLC
- Mainstreet and Kidsstreet of North Carolina PLLC
- Marsh'S Residential Living, LLC
- Christi Meads
- Deborah E Meridith
- Jennifer Vanita Moore
- Elizabeth W Mumaw
All providers in Liberty, 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 Apr 11, 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.