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Organization
STANDARD ABOVE ALL, INC.
Active
Organization
STANDARD ABOVE ALL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANITTA RENEE BROOKS BSW, QP (OWNER/ADMINISTRATOR)
(252) 969-1934
Entity
Organization
Contact information
Practice address
656 HAGGERTY TRL, ROCKY MOUNT, NC 27803-9134
(252) 210-3157
(252) 210-9171
Mailing address
200 BANNER WAY, ROCKY MOUNT, NC 27804-3456
(252) 969-1934
(252) 210-9171
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
NC
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
NC
320800000X
Mental Illness Community Based Residential Treatment Facility
—
NC
385H00000X
Respite Care
—
NC
Other
Enumeration date
03/23/2012
Last updated
03/23/2012
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