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Peterkin & Associates
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Fayetteville, North Carolina
NPI 1356471874

Peterkin & Associates is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Fayetteville, NC. Peterkin & Associates practices in Fayetteville, NC. The NPI Number for Peterkin & Associates is 1356471874 and holds a License No. MHL-026-017 (North Carolina).

The current practice location address for Peterkin & Associates is 1050 Hogan St, Fayetteville, NC and can be reached out via phone at 910-484-1869.

Location: 1050 Hogan St, Fayetteville, NC, 28301-5649
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356471874
Provider Name
Peterkin & Associates
Credential
Provider Entity Type
Organization
Address
1050 Hogan St, Fayetteville, NC, 28301-5649
Phone Number
910-484-1869
Fax Number
Provider Enumeration Date
03/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3406442 05 NC
institution
Provider Business Practice Location Address Details
Address
1050 Hogan St
City
Fayetteville
State
North Carolina
Zip
28311-2340
Phone Number
910-484-1869
Fax Number
person
Provider Business Mailing Address Details
Address
1050 Hogan St
City
Fayetteville
State
North Carolina
Zip
28311-2340
Phone Number
910-484-1869
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
MHL-026-017 (North Carolina)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
MHL-026-017 (North Carolina)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
person
Provider's Taxonomy Details 3
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
MHL-026-017 (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.
person
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
MHL-026-017 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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