Rose Of Sharon Adolescent Treatment Home

LBN: Rose Of Sharon Adolescent Treatment Home
Rose Of Sharon Adolescent Treatment Home is an health care organization with primary practice located at 13 Rhyn Ct , Durham NC 27704-2359. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Rose Of Sharon Adolescent Treatment Home can be contacted via phone (919) 220-2492, or through Pettiford, Sharon W via phone (919) 550-2648.

Contact Information

Primary practice address
13 Rhyn Ct Durham NC 27704-2359
Phone: (919) 220-2492
Fax: (919) 550-2648
Website:
Map and Directions
Authorized official contact:
Name: Pettiford, Sharon W
Phone: (919) 550-2648

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL 032275 North Carolina

Profile Details

NPI number 1194871483
LBN Legal business name Rose Of Sharon Adolescent Treatment Home
DBA Doing business as
Authorized official Pettiford, Sharon W
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 27th, 2007
Last updated Jun 16th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194871483 NPPES
North Carolina MEDICAID 6603291

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