SOPHIA B PIERCE & ASSOCIATES INC
Intermediate Care Facility, Mentally Retarded
Fayetteville, North Carolina
Provider NPI: 1699850891
Organization Information:Organization Name: SOPHIA B PIERCE & ASSOCIATES INC
Practice Location:
3301 BARKSDALE ROAD FAYETTEVILLE, NC 28301 US
Tel: 910-822-4455 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
3301 BARKSDALE ROAD FAYETTEVILLE, NC 28301 US
Tel: 910-822-4455 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | NC | MHL026125 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
3406042 | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin