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Independent Community-based Services Llc
Community/Behavioral Health Agency in Fairmont, North Carolina
NPI 1023250347

Independent Community-based Services Llc is a Community/Behavioral Health Agency based in Fairmont, NC. Independent Community-based Services Llc practices in Fairmont, NC. The NPI Number for Independent Community-based Services Llc is 1023250347 and holds a License No. (North Carolina).

The current practice location address for Independent Community-based Services Llc is 107 N Morro St., Fairmont, NC and can be reached out via phone at 910-628-5923 and via fax at 910-628-0444.

Location: 107 N Morro St., Fairmont, NC, 28340-6451
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023250347
Provider Name
Independent Community-based Services Llc
Credential
Provider Entity Type
Organization
Address
107 N Morro St., Fairmont, NC, 28340-6451
Phone Number
910-628-5923
Fax Number
910-628-0444
Provider Enumeration Date
04/01/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
107 N Morro St.
City
Fairmont
State
North Carolina
Zip
28340
Phone Number
910-628-5923
Fax Number
910-628-0444
person
Provider Business Mailing Address Details
Address
107 N Morro St.
City
Fairmont
State
North Carolina
Zip
28340
Phone Number
910-628-5923
Fax Number
910-628-0444
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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