Organization
PATTERSON HOME CARE, INC.
Active
Other names
Patterson Home Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHAROLETTE BOUVIER PATTERSON (ADM)
(910) 527-8427
Entity
Organization
Contact information
Practice address
6331 RANNOCK DR., FAYETTEVILLE, NC 28304
(910) 527-8427
(910) 822-8202
Mailing address
PO BOX 64013, 6331 RANNOCK DR., FAY, NC 28304
(910) 527-8427
(910) 822-8202
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL 026766
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
02/23/2007
Last updated
06/03/2016
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