Organization
IGR COLLABORATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLORENCE IKECHUKWU (CEO)
(252) 541-3538
Entity
Organization
Contact information
Practice address
212 PINE RIDGE DR, ROANOKE RAPIDS, NC 27870-6832
(252) 541-3538
Mailing address
212 PINE RIDGE DR, ROANOKE RAPIDS, NC 27870-6832
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/12/2018
Last updated
11/12/2018
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