Organization
TARBORO CARE LLC
Active
Other names
Prodigy Transitional Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES EVERETT SHARPE (REGIONAL DIRECTOR)
(252) 432-2303
Entity
Organization
Contact information
Practice address
911 WESTERN BLVD, TARBORO, NC 27886-4016
(252) 823-2041
Mailing address
911 WESTERN BLVD, TARBORO, NC 27886-4016
(252) 823-2041
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
227800000X
Certified Respiratory Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3435296
—
NC
Enumeration date
07/14/2021
Last updated
07/14/2021
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