MY BROTHER'S KEEPER
NPI 1326215781
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Lake Waccamaw, NC
- Organization
- Residential Treatment Facility, Intellec...
About MY BROTHER'S KEEPER
This page provides the complete NPI Profile along with additional information for My Brother's Keeper, a provider established in Lake Waccamaw, North Carolina operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1326215781 assigned on May 2008. The practitioner's primary taxonomy code is 320600000X with license number MHL-024071 (NC). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as My Brother's Keeper. The authorized official of this NPI record is Mrs. Tonya Larice Clark-baez (Director Of Operations)
- NPI
- 1326215781 Verify this NPI
- Provider Legal Name
- GREAT ACCOMPLISHMENTS INC.
- Other Organization Name
- MY BROTHER'S KEEPER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 230 CRABAPPLE LN LAKE WACCAMAW, NC 28450
- Location Phone
- (910) 354-0679
- Mailing Address
- 230 CRABAPPLE LN LAKE WACCAMAW, NC 28450
- Mailing Phone
- (910) 354-0679
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-14-2008
- Last Update Date
- 05-14-2008
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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
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320600000X
- Type
- Residential Treatment Facilities
- License No.
- MHL-024071
- License State
- NC
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1326215781, enumerated as an "organization" on May 14, 2008.
The provider is located at 230 CRABAPPLE LN LAKE WACCAMAW, NC 28450 and the phone number is (910) 354-0679.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.
