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Skill Creations Of Kenansville
Intellectual Disabilities Intermediate Care Facility in Kenansville, North Carolina
NPI 1801147186

Skill Creations Of Kenansville is a Intellectual Disabilities Intermediate Care Facility based in Goldsboro, NC. Skill Creations Of Kenansville practices in Kenansville, NC. The NPI Number for Skill Creations Of Kenansville is 1801147186 and holds a License No. MHL-031-004 (North Carolina).

The current practice location address for Skill Creations Of Kenansville is 218 S Stokes Street, Kenansville, NC and can be reached out via phone at 910-296-0078.

Location: 218 S Stokes Street, Kenansville, NC, 27533-1636
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801147186
Provider Name
Skill Creations Of Kenansville
Credential
Provider Entity Type
Organization
Address
218 S Stokes Street, Kenansville, NC, 27533-1636
Phone Number
910-296-0078
Fax Number
Provider Enumeration Date
09/26/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3406370 05 NC
institution
Provider Business Practice Location Address Details
Address
218 S Stokes Street
City
Kenansville
State
North Carolina
Zip
28349-0001
Phone Number
910-296-0078
Fax Number
person
Provider Business Mailing Address Details
Address
218 S Stokes Street
City
Kenansville
State
North Carolina
Zip
28349-0001
Phone Number
910-296-0078
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
MHL-031-004 (North Carolina)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
MHL-031-004 (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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