Organization
EVERGREEN ROAD FACILITY
Active
Other names
Care Focus, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUANE BRICKHOUSE (CONTROLLER)
(410) 910-1489
Entity
Organization
Contact information
Practice address
827 EVERGREEN RD, ROCKY MOUNT, NC 27803-2426
(252) 446-8675
Mailing address
7227 LEE DEFOREST DR, COLUMBIA, MD 21046-3236
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
064-079
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
064-079
LICENSE
NC
05
—
7804569
—
NC
Enumeration date
10/22/2007
Last updated
10/22/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us