Healthcare Provider Details

I. General information

NPI: 1144270372
Provider Name (Legal Business Name): CAROLINA COMPLETE REHAB CENTER OF HOPE MILLS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 03/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4251 LEGION RD STE 107
HOPE MILLS NC
28348-6201
US

IV. Provider business mailing address

4251 LEGION RD STE 107 P.O. BOX 408
HOPE MILLS NC
28348-6200
US

V. Phone/Fax

Practice location:
  • Phone: 910-429-0600
  • Fax: 910-429-0602
Mailing address:
  • Phone: 910-429-0600
  • Fax: 910-429-0602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. TRACEY N LAURELES
Title or Position: PRESIDENT
Credential:
Phone: 910-429-0600