MISS PEGGY GREEN
NPI 1174826390
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Charlotte, NC
- Individual
- Female
- Community Based Residential Treatment Fa...
About PEGGY GREEN
This page provides the complete NPI Profile along with additional information for Peggy Green, a provider established in Charlotte, North Carolina with a medical specialization in Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1174826390 assigned on December 2010. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an individual and her NPI record was last updated 16 years ago.
- NPI
- 1174826390 Verify this NPI
- Provider Name
- MISS PEGGY GREEN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 6400 IVORY PALM DR CHARLOTTE, NC 28227
- Location Phone
- (704) 910-5458
- Mailing Address
- 6400 IVORYPALMDR. CHARLOTTE, NC 28227
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-09-2010
- Last Update Date
- 12-09-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320900000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Reviews for MISS PEGGY GREEN
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174826390, enumerated as an "individual" on December 09, 2010.
The provider is located at 6400 IVORY PALM DR CHARLOTTE, NC 28227 and the phone number is (704) 910-5458.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
