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Organization

ROANOKE DEVELOPMENTAL CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ZEBEDEE TAYLOR MSW, PHD (EXECUTIVE DIRECTOR)
(252) 793-5077
Entity
Organization

Contact information

Practice address
609 ADAMS ST, PLYMOUTH, NC 27962-1813
(252) 793-5077
(252) 793-9144
Mailing address
PO BOX 967, PLYMOUTH, NC 27962-0967
(252) 793-5077
(252) 793-9144

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
MHL-094-002
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3408386
NC
05
7804439
NC
05
7804440
NC
05
7804441
NC
05
7804498
NC
05
8300667
NC
Enumeration date
01/08/2007
Last updated
03/03/2011
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