Organization
IMPACT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAQUONN M HILL (CEO)
(980) 781-8521
Entity
Organization
Contact information
Practice address
1711 MISSION OAKS ST, KANNAPOLIS, NC 28083-7822
(980) 781-8521
(980) 781-8521
Mailing address
1711 MISSION OAKS ST, KANNAPOLIS, NC 28083-7822
(980) 781-8521
(980) 781-8521
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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