Organization
INFINITY FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM T GORHAM (AGENCY DIRECTOR)
(252) 417-6829
Entity
Organization
Contact information
Practice address
203 0LDWELL DRIVE, GREENVILLE, NC 27834
(252) 417-6829
(252) 298-5413
Mailing address
878 W STAR ST, GREENVILLE, NC 27834-0844
(252) 417-6829
(252) 298-5413
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
03/21/2024
Last updated
04/13/2024
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