institution
Nova Ic, Inc.
Intellectual Disabilities Intermediate Care Facility in Lagrange, North Carolina
NPI 1669611471

Nova Ic, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Goldsboro, NC. Nova Ic, Inc. practices in Lagrange, NC. The NPI Number for Nova Ic, Inc. is 1669611471 and holds a License No. MHL-054-038 (North Carolina).

The current practice location address for Nova Ic, Inc. is 407 W. Washington Street, Lagrange, NC and can be reached out via phone at 919-734-8803 and via fax at 919-735-6825.

Location: 407 W. Washington Street, Lagrange, NC, 27532-1077
institution
Provider Profile Details
NPI Number
1669611471
Provider Name
Nova Ic, Inc.
Credential
Provider Entity Type
Organization
Address
407 W. Washington Street, Lagrange, NC, 27532-1077
Phone Number
919-734-8803
Fax Number
919-735-6825
Provider Enumeration Date
02/18/2009
Last Update Date
10/19/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
340608V 05 NC
institution
Provider Business Practice Location Address Details
Address
407 W. Washington Street
City
State
Zip
28551-1623
Phone Number
919-734-8803
Fax Number
919-735-6825
person
Provider Business Mailing Address Details
Address
407 W. Washington Street
City
State
Zip
28551-1623
Phone Number
919-734-8803
Fax Number
919-735-6825
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
MHL-054-038 (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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