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NPI Code Detail

MEDICARE: NEW START OF NORTH CAROLINA LLC

MEDICARE: NEW START OF NORTH CAROLINA 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
1320800000XMental Illness Community Based Residential Treatment Facility7803798NC

General Provider Information

NPI Number : 1700083821
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW START OF NORTH CAROLINA LLC
Provider Business Mailing Address
First Line : PO BOX 1523
Second Line :
City : GREENVILLE
State : NC
Zip : 27835-1523
Country : US
Telephone Number : 252-413-0064
Fax Number : 252-439-0666
Provider Business Practice Location Address
First Line : 708 W 14TH AVE
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-3083
Country : US
Telephone Number : 252-413-0064
Fax Number : 252-439-0666
Authorized Official
Title or Position : OWNER OPERATOR
Name : MS. RAMONA BREWINGTON HART
Credential :
Telephone Number : 252-327-8225
Provider Enumeration Date : 07/02/2007
Last Update Date : 08/22/2020

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Directions to “NEW START OF NORTH CAROLINA LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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