INDIVIDUALIZED TREATMENT SOLUTION


Address: 5051 Main St Ste 10, Shallotte, NC 28470-4581
Phone: 9103939409

INDIVIDUALIZED TREATMENT SOLUTION (NPI# 1700281375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700281375
Entity Type Organization
Organization Name INDIVIDUALIZED TREATMENT SOLUTION
Other Organization Name WOODARD'S ADULT DAY HEALTH CENTER
Practice Address 5051 Main St Ste 10
Shallotte
NC 28470-4581
Mailing Address 1747 Grissett Rd Sw
Supply
NC 28462-3070
Practice Telephone 9103939409
Practice Fax Number 9108429927
Mailing Telephone 9103939409
Mailing Fax Number 9108429927
Enumeration Date 2014-10-24
Last Update Date 2014-10-28
Authorized Official Name MRS. SHARON A. WOODARD CRAWFORD (OWNER)
Authorized Official Telephone 9103939409
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA0600X Clinic/Center
Specialization: Adult Day Care
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Woodard's Adult Day Health Center Doing Business As Name - Organization

Office Location

Street Address 5051 MAIN ST STE 10
City SHALLOTTE
State NC
Zip Code 28470-4581

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Taxonomy Information

Taxonomy Code 261QA0600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Day Care

Taxonomy Definition

Definition to come...

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Competitor

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City SHALLOTTE
Zip Code 28470

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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