Organization
SCI - BURKE ICF/MR GROUP HOME
Active
Parent organization
SKILL CREATIONS INCORPORATED
Organization subpart
Yes
Provider details
NPI number
Legal business name
SKILL CREATIONS INCORPORATED
Authorized official
PAUL HACKMANN (CEO)
(919) 734-7398
Entity
Organization
Contact information
Practice address
101 STEPHENS DR, MORGANTON, NC 28655-2937
(828) 438-6243
Mailing address
101 STEPHENS DR, MORGANTON, NC 28655-2937
(828) 438-6243
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
MHL-012-105
NC
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
MHL-012-105
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3416197
—
NC
Enumeration date
09/14/2012
Last updated
01/18/2019
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