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Organization
PETERKIN & ASSOCIATES, INC.
Active
Organization
PETERKIN & ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICE SMITH ED.D (CEO)
(910) 323-1817
Entity
Organization
Contact information
Practice address
7559 DECATUR DR, FAYETTEVILLE, NC 28303-1989
(910) 484-1869
(910) 483-8515
Mailing address
131 HAY ST STE 201, FAYETTEVILLE, NC 28301-5649
(910) 323-1817
(910) 323-2607
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
MHL-026-097
NC
313M00000X
Nursing Facility/Intermediate Care Facility
MHL-026-097
NC
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
MHL-026-097
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL-026-097
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340602E
—
NC
Enumeration date
03/07/2007
Last updated
01/11/2012
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