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NPI Code Detail

MEDICARE: TOYA'S PROJECT, LLC

MEDICARE: TOYA'S PROJECT, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1320600000XIntellectual and/or Developmental Disabilities Residential Treatment Facility

General Provider Information

NPI Number : 1033839568
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOYA'S PROJECT, LLC
Provider Business Mailing Address
First Line : 1995 BLUE ROCK CT
Second Line :
City : GREENSBORO
State : NC
Zip : 27405-1834
Country : US
Telephone Number : 336-340-6399
Fax Number :
Provider Business Practice Location Address
First Line : 1995 BLUE ROCK CT
Second Line :
City : GREENSBORO
State : NC
Zip : 27405-1834
Country : US
Telephone Number : 336-340-6399
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KENYATTA NECOLE DAVIS
Credential :
Telephone Number : 336-340-6399
Provider Enumeration Date : 09/02/2022
Last Update Date : 09/02/2022

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Directions to “TOYA'S PROJECT, LLC ” Practice Location

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