Organization
OMNI FAMILY OF SERVICES NORTH CAROLINA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRELYN REED (SPECIAL PROJECTS COORDINATOR)
(800) 851-8905
Entity
Organization
Contact information
Practice address
505 BROOKDALE DR, STATESVILLE, NC 28677-4107
(704) 549-1014
(704) 924-6949
Mailing address
301 S PERIMETER PARK DR, SUITE 210, NASHVILLE, TN 37211-4143
(615) 726-3603
(615) 726-3632
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
Primary
—
NC
253J00000X
Foster Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
50053
KY
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NA
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
SO 09985A
TN
Other
Enumeration date
11/30/2006
Last updated
07/18/2024
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