Organization
CIDDS FOUNDATION OF NC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA JANE NAPPER (ADMINISTRATOR)
(910) 366-7005
Entity
Organization
Contact information
Practice address
6863 WINCHESTER ST, FAYETTEVILLE, NC 28314-5634
(910) 366-7005
Mailing address
6863 WINCHESTER ST, FAYETTEVILLE, NC 28314-5634
(910) 366-7005
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
3409527
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409527
—
NC
Enumeration date
01/18/2008
Last updated
01/18/2008
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