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Organization
TARBORO CARE LLC
Active
Organization
TARBORO CARE LLC
Active
Other names
Prodigy Transitional Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES EVERETT SHARPE (REGIONAL DIRECTOR)
(252) 432-2303
Entity
Organization
Contact information
Practice address
911 WESTERN BLVD, TARBORO, NC 27886-4016
(252) 823-2041
Mailing address
911 WESTERN BLVD, TARBORO, NC 27886-4016
(252) 823-2041
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
227800000X
Certified Respiratory Therapist
—
NULL
227800000X
Certified Respiratory Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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