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Peterkin & Associates, Inc.
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Southern Pines, North Carolina
NPI 1508996059

Peterkin & Associates, Inc. is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Fayetteville, NC. Peterkin & Associates, Inc. practices in Southern Pines, NC. The NPI Number for Peterkin & Associates, Inc. is 1508996059 and holds a License No. MHL-063-017 (North Carolina).

The current practice location address for Peterkin & Associates, Inc. is 114 Greenhouse Ln, Southern Pines, NC and can be reached out via phone at 910-323-1817.

Location: 114 Greenhouse Ln, Southern Pines, NC, 28301-5649
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508996059
Provider Name
Peterkin & Associates, Inc.
Credential
Provider Entity Type
Organization
Address
114 Greenhouse Ln, Southern Pines, NC, 28301-5649
Phone Number
910-323-1817
Fax Number
Provider Enumeration Date
03/06/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
340604W 05 NC
institution
Provider Business Practice Location Address Details
Address
114 Greenhouse Ln
City
Southern Pines
State
North Carolina
Zip
28387-3140
Phone Number
910-323-1817
Fax Number
person
Provider Business Mailing Address Details
Address
114 Greenhouse Ln
City
Southern Pines
State
North Carolina
Zip
28387-3140
Phone Number
910-323-1817
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
MHL-063-017 (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
Intermediate Care Facility, Mental Illness
Speciality
-
Taxonomy
310500000X
License No.
MHL-063-017 (North Carolina)
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
person
Provider's Taxonomy Details 3
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
MHL-063-017 (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-063-017 (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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