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Organization
FOSTER'S CARE FACILITY, LLC
Active
Organization
FOSTER'S CARE FACILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FOSTER LEE WILKINS QP, MS. EDU (EXECUTIVE DIRECTOR)
(336) 885-0602
Entity
Organization
Contact information
Practice address
1320 HAMILTON PL STE 107, HIGH POINT, NC 27262-4868
(336) 885-0602
(336) 885-0603
Mailing address
593 HUGH PATRICK COURT, GREENSBORO, NC 27455
(336) 601-1692
(336) 885-0603
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MHL041-979
NC
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301410
—
NC
Enumeration date
02/20/2007
Last updated
11/06/2018
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