Organization
ENVISION HEALTHCARE, INC.
Active
Other names
Barker Road Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VIC B. GULATI (OWNER)
(252) 492-8686
Entity
Organization
Contact information
Practice address
490 BARKER RD, HENDERSON, NC 27537-8873
(252) 492-8686
Mailing address
490 BARKER RD, HENDERSON, NC 27537-8873
(252) 492-8686
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-091-066
NC
Other
Enumeration date
01/26/2007
Last updated
08/22/2020
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