Organization
WAY FARER COURT FACILITY
Active
Other names
Care Focus, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUANE BRICKHOUSE (CONTROLLER)
(410) 910-1500
Entity
Organization
Contact information
Practice address
145 WAYFARER CT, ROCKY MOUNT, NC 27801-6282
(252) 977-3747
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
033-049
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804571
—
NC
Enumeration date
10/24/2007
Last updated
10/24/2007
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