# EZCARE PROVIDERS INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558414466
- **Authorized official:** MR. RICHMOND C. OKORO MS (DIRECTOR)
- **Authorized official phone:** (336) 638-6634

## Contact information

- **Practice address:** 4202 SCOTNEY DR, GREENSBORO, NC 27407-7558
- **Practice address phone:** (336) 638-6634
- **Practice address fax:** (336) 638-5994
- **Mailing address:** PO BOX 21743, GREENSBORO, NC 27420-1743
- **Mailing address phone:** (336) 638-6634
- **Mailing address fax:** (336) 638-5994

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-046-762 | NC | Yes |

## Other

- **Enumeration date:** 01/22/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6604017 | — | NC |