Organization
PASSIONATE CARE COMMUNITY SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTAE ALTMAN (DIRECTOR OF OPERATIONS)
(919) 581-9002
Entity
Organization
Contact information
Practice address
200 W ASH ST, GOLDSBORO, NC 27530-3662
(919) 581-9002
Mailing address
200 W ASH ST, GOLDSBORO, NC 27530-3662
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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