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Nova-ic, Inc.
Intellectual Disabilities Intermediate Care Facility in Goldsboro, North Carolina
NPI 1699914598

Nova-ic, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Goldsboro, NC. Nova-ic, Inc. practices in Goldsboro, NC. The NPI Number for Nova-ic, Inc. is 1699914598 and holds a License No. MHL-096-110 (North Carolina).

The current practice location address for Nova-ic, Inc. is 2510 Norwood Ave, Goldsboro, NC and can be reached out via phone at 919-734-8803 and via fax at 919-735-6825.

Location: 2510 Norwood Ave, Goldsboro, NC, 27532-1077
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699914598
Provider Name
Nova-ic, Inc.
Credential
Provider Entity Type
Organization
Address
2510 Norwood Ave, Goldsboro, NC, 27532-1077
Phone Number
919-734-8803
Fax Number
919-735-6825
Provider Enumeration Date
02/17/2009
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
340610M 05 NC
institution
Provider Business Practice Location Address Details
Address
2510 Norwood Ave
City
Goldsboro
State
North Carolina
Zip
27534-1671
Phone Number
919-734-8803
Fax Number
919-735-6825
person
Provider Business Mailing Address Details
Address
2510 Norwood Ave
City
Goldsboro
State
North Carolina
Zip
27534-1671
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
315P00000X
License No.
MHL-096-110 (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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