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Nova-ic, Inc.
Intellectual Disabilities Intermediate Care Facility in Goldsboro, North Carolina
NPI 1043459852

Nova-ic, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Goldsboro, NC. Nova-ic, Inc. practices in Goldsboro, NC. The NPI Number for Nova-ic, Inc. is 1043459852 and holds a License No. MHL-096-114 (North Carolina).

The current practice location address for Nova-ic, Inc. is 1509 Holly Street, Goldsboro, NC and can be reached out via phone at 919-735-4736 and via fax at 919-735-6825.

Location: 1509 Holly Street, Goldsboro, NC, 27532-1077
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043459852
Provider Name
Nova-ic, Inc.
Credential
Provider Entity Type
Organization
Address
1509 Holly Street, Goldsboro, NC, 27532-1077
Phone Number
919-735-4736
Fax Number
919-735-6825
Provider Enumeration Date
02/18/2009
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3406312 05 NC
institution
Provider Business Practice Location Address Details
Address
1509 Holly Street
City
Goldsboro
State
North Carolina
Zip
27534-3033
Phone Number
919-735-4736
Fax Number
919-735-6825
person
Provider Business Mailing Address Details
Address
1509 Holly Street
City
Goldsboro
State
North Carolina
Zip
27534-3033
Phone Number
919-735-4736
Fax Number
919-735-6825
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
MHL-096-114 (North Carolina)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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