Organization
EZCARE PROVIDERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHMOND C OKORO (DIRECTOR)
(336) 638-6634
Entity
Organization
Contact information
Practice address
4202 SCOTNEY DR, GREENSBORO, NC 27407-7558
(336) 638-6634
(336) 274-1078
Mailing address
PO BOX 21743, GREENSBORO, NC 27420-1743
(336) 638-6634
(336) 274-1078
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-041-762
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418227
—
NC
Enumeration date
12/15/2006
Last updated
08/22/2020
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