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New River Cottage, Inc.
Intellectual Disabilities Intermediate Care Facility in Sparta, North Carolina
NPI 1619984283

New River Cottage, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Sparta, NC. New River Cottage, Inc. practices in Sparta, NC. The NPI Number for New River Cottage, Inc. is 1619984283 and holds a License No. MHL003003 (North Carolina).

The current practice location address for New River Cottage, Inc. is 82 Davis Lane, Sparta, NC and can be reached out via phone at 336-372-5671 and via fax at 336-372-5672.

Location: 82 Davis Lane, Sparta, NC, 28675-0488
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619984283
Provider Name
New River Cottage, Inc.
Credential
Provider Entity Type
Organization
Address
82 Davis Lane, Sparta, NC, 28675-0488
Phone Number
336-372-5671
Fax Number
336-372-5672
Provider Enumeration Date
08/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MHL003003 05 NC
institution
Provider Business Practice Location Address Details
Address
82 Davis Lane
City
Sparta
State
North Carolina
Zip
28675-0488
Phone Number
336-372-5671
Fax Number
336-372-5672
person
Provider Business Mailing Address Details
Address
82 Davis Lane
City
Sparta
State
North Carolina
Zip
28675-0488
Phone Number
336-372-5671
Fax Number
336-372-5672
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
MHL003003 (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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