Organization
DYNAMIC CARE HOME
Active
Parent organization
PRESTIGE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRESTIGE INC
Authorized official
MS. SHEARLDENA M TURNER (DIRECTOR)
(910) 483-6416
Entity
Organization
Contact information
Practice address
739 AMBER DR, FAYETTEVILLE, NC 28311-1886
(910) 483-6416
(910) 483-5924
Mailing address
PO BOX 504, FAYETTEVILLE, NC 28302-0504
(910) 483-6416
(910) 483-5924
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-026-558
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603198
—
NC
Enumeration date
05/03/2007
Last updated
12/27/2007
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