Peace Lily Development, Inc.
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Dobson, NC
NPI 1992869887 · NPPES record last updated Jul 28, 2008
Key facts
- NPI
- 1992869887
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- License
- MHL086034 (NC)
- Legal business name
- PEACE LILY DEVELOPMENT, INC.
- Practice address
- 103 Peace Lilly LN
Dobson, NC 27017-8483 - Phone
- (336) 386-8074
- Fax
- (336) 386-8394
- NPI assigned
- Dec 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Kathy Lewis
- Title
- Administrator
- Phone
- (336) 386-8074
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Peace Lily Development Inc
Locations
117 Peace Lilly Ln
Dobson, NC 27017
Phone (336) 386-8074
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | MHL086034 | NC | Yes |
Addresses
Primary practice location
103 Peace Lilly LN
Dobson, NC 27017-8483
Mailing address
PO Box 705
Dobson, NC 27017-0705
Phone (336) 386-8074
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7803740 | Medicaid | NC |
Other providers in Dobson, NC
- Monica Nichols
- Traci Cheek O'Dell
- Gary Lee Pannabecker
- Emily Megan Park
- Peace Lily Development, Inc.
- Phoenix Counseling Collaborative LLC
- Piedmont Medical, Inc.
- Amy Denise Poindexter
- Kyle Wesley Polzin
- Pqa Healthcare, Inc
All providers in Dobson, NC · Intellectual Disabilities Intermediate Care 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 Jul 28, 2008. 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.