Organization
EVERLASTING CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHERINE LENNON KIRK (OWNER)
(910) 485-4361
Entity
Organization
Contact information
Practice address
4635 KIRK SHAW RD, HOPE MILLS, NC 28348-7507
(910) 485-4361
(910) 485-4361
Mailing address
4635 KIRK SHAW ROAD, HOPE MILLS, NC 28348
(910) 485-4361
(910) 485-4361
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-026-800
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805180
—
NC
Enumeration date
11/16/2006
Last updated
08/22/2020
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