Organization
T&S HOMEPLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELBIA NORRIS (OWNER- ADM.)
(910) 323-3797
Entity
Organization
Contact information
Practice address
1808 CONOVER DR, FAYETTEVILLE, NC 28304-4562
(910) 426-7992
Mailing address
1122 CEDAR CREEK RD, FAYETTEVILLE, NC 28312-6544
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
MHL-026-661
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804444
—
NC
Enumeration date
10/08/2008
Last updated
10/08/2008
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