# TARBORO CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prodigy Transitional Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982276416
- **Authorized official:** CHARLES EVERETT SHARPE (REGIONAL DIRECTOR)
- **Authorized official phone:** (252) 432-2303

## Contact information

- **Practice address:** 911 WESTERN BLVD, TARBORO, NC 27886-4016
- **Practice address phone:** (252) 823-2041
- **Mailing address:** 911 WESTERN BLVD, TARBORO, NC 27886-4016
- **Mailing address phone:** (252) 823-2041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |

## Other

- **Enumeration date:** 07/14/2021
- **Last updated:** 07/14/2021