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Greater Image Healthcare, Corp
Intellectual Disabilities Intermediate Care Facility in Fayetteville, North Carolina
NPI 1255574034

Greater Image Healthcare, Corp is a Intellectual Disabilities Intermediate Care Facility based in Fayetteville, NC. Greater Image Healthcare, Corp practices in Fayetteville, NC. The NPI Number for Greater Image Healthcare, Corp is 1255574034 and holds a License No. (North Carolina).

The current practice location address for Greater Image Healthcare, Corp is 401 Roberson Street, Fayetteville, NC and can be reached out via phone at 910-321-0069 and via fax at 910-491-1000.

Location: 401 Roberson Street, Fayetteville, NC, 28301-5423
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255574034
Provider Name
Greater Image Healthcare, Corp
Credential
Provider Entity Type
Organization
Address
401 Roberson Street, Fayetteville, NC, 28301-5423
Phone Number
910-321-0069
Fax Number
910-491-1000
Provider Enumeration Date
04/09/2009
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1457481988 05 NC
8302847 05 NC
1508996059 05 NC
5919267 05 NC
6008694 05 NC
institution
Provider Business Practice Location Address Details
Address
401 Roberson Street
City
Fayetteville
State
North Carolina
Zip
28301-5423
Phone Number
910-321-0069
Fax Number
910-491-1000
person
Provider Business Mailing Address Details
Address
401 Roberson Street
City
Fayetteville
State
North Carolina
Zip
28301-5423
Phone Number
910-321-0069
Fax Number
910-491-1000
person
Provider's Taxonomy Details 1
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.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
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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