Individual
HERMAN QUARZETTE BASNIGHT II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP/C, MSN, BSN, RN
Contact information
Practice address
1075 EVANS LN, ROBERSONVILLE, NC 27871-9237
(252) 214-5150
Mailing address
1075 EVANS LN, ROBERSONVILLE, NC 27871-9237
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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