Organization
QUALITY DEVELOPMENT FOR DECISIVE PEOPLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS REGINA LOUISE FARMER (CEO)
(252) 977-6819
Entity
Organization
Contact information
Practice address
736 SALISBURY DR, 736 SALISBURY DR, ROCKY MOUNT, NC 27801-6133
(252) 977-6819
(252) 977-6819
Mailing address
736 SALISBURY DR, ROCKY MOUNT, NC 27801-6133
(252) 977-6819
(252) 977-6819
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-033-040
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3308788
—
NC
Enumeration date
12/21/2006
Last updated
08/22/2020
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