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NPI Code Detail

MEDICARE: POSITIVE CARE

MEDICARE: POSITIVE CARE
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 FacilityMHL-041-765NC

General Provider Information

NPI Number : 1891878518
Entity Type Code : Organization
Provider Name (Legal Business Name) : POSITIVE CARE
Provider Business Mailing Address
First Line : 2200 SHARPE RD
Second Line :
City : GREENSBORO
State : NC
Zip : 27406-8503
Country : US
Telephone Number : 336-697-8700
Fax Number : 336-697-8705
Provider Business Practice Location Address
First Line : 2200 SHARPE RD
Second Line :
City : GREENSBORO
State : NC
Zip : 27406-8503
Country : US
Telephone Number : 336-697-8700
Fax Number : 336-697-8705
Authorized Official
Title or Position : QUALIFIED PROFESSIONAL
Name : MR. MARZELL PARKER SR.
Credential : MS
Telephone Number : 336-686-8582
Provider Enumeration Date : 10/24/2006
Last Update Date : 11/19/2014

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Directions to “POSITIVE CARE ” Practice Location

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