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Mrs. Tanna Torcaso, QP
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jacksonville, North Carolina
NPI 1487762373

Tanna Torcaso is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Jacksonville, NC. Tanna Torcaso practices in Jacksonville, NC and has the professional credentials of QP. The NPI Number for Tanna Torcaso is 1487762373 and holds a License No. MHL-067-118 (North Carolina).

The current practice location address for Tanna Torcaso is 303 Stillwater Cv, Jacksonville, NC and can be reached out via phone at 910-219-1180.

Location: 303 Stillwater Cv, Jacksonville, NC, 28546-9790
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Provider Profile Details
NPI Number
1487762373
Provider Name
Tanna Torcaso
Credential
QP
Provider Entity Type
Individual
Gender
Female
Address
303 Stillwater Cv, Jacksonville, NC, 28546-9790
Phone Number
910-219-1180
Fax Number
Provider Enumeration Date
08/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3409267 05 NC
institution
Provider Business Practice Location Address Details
Address
303 Stillwater Cv
City
State
Zip
28546-9790
Phone Number
910-219-1180
Fax Number
person
Provider Business Mailing Address Details
Address
303 Stillwater Cv
City
State
Zip
28546-9790
Phone Number
910-219-1180
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
MHL-067-118 (North Carolina)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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