Organization
HAMPTON HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA HAMPTON (CAP PROVIDER)
(910) 938-9373
Entity
Organization
Contact information
Practice address
100 CYPRESS CT, JACKSONVILLE, NC 28540-4029
(910) 938-9373
(910) 938-9373
Mailing address
100 CYPRESS CT, JACKSONVILLE, NC 28540-4029
(910) 938-9373
(910) 938-9373
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-067-073
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409009
—
NC
Enumeration date
03/06/2007
Last updated
06/13/2008
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