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Evangelistic Deliverance Center Adult Group Home
Intellectual Disabilities Intermediate Care Facility in Tarboro, North Carolina
NPI 1851589659

Evangelistic Deliverance Center Adult Group Home is a Intellectual Disabilities Intermediate Care Facility based in Tarboro, NC. Evangelistic Deliverance Center Adult Group Home practices in Tarboro, NC. The NPI Number for Evangelistic Deliverance Center Adult Group Home is 1851589659 and holds a License No. (North Carolina).

The current practice location address for Evangelistic Deliverance Center Adult Group Home is 1302 Saint Andrew St, Tarboro, NC and can be reached out via phone at 252-823-3699 and via fax at 252-641-1681.

Location: 1302 Saint Andrew St, Tarboro, NC, 27886-3032
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1851589659
Provider Name
Evangelistic Deliverance Center Adult Group Home
Credential
Provider Entity Type
Organization
Address
1302 Saint Andrew St, Tarboro, NC, 27886-3032
Phone Number
252-823-3699
Fax Number
252-641-1681
Provider Enumeration Date
10/07/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1302 Saint Andrew St
City
Tarboro
State
North Carolina
Zip
27886-3032
Phone Number
252-823-3699
Fax Number
252-641-1681
person
Provider Business Mailing Address Details
Address
1302 Saint Andrew St
City
Tarboro
State
North Carolina
Zip
27886-3032
Phone Number
252-823-3699
Fax Number
252-641-1681
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
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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