Organization
FOSTER'S CARE FACILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FOSTER LEE WILKINS MS. EDU, QP (CEO, PRESIDENT)
(336) 885-0602
Entity
Organization
Contact information
Practice address
213 LINDSAY ST, HIGH POINT, NC 27262-4868
(336) 855-0602
(336) 855-0603
Mailing address
4201 BERWYN CT, GREENSBORO, NC 27407-7883
(336) 601-1692
(336) 855-0603
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3409533
CAP PROVIDER ID
NC
Enumeration date
03/22/2007
Last updated
06/20/2008
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