Healthcare Provider Details

I. General information

NPI: 1932039526
Provider Name (Legal Business Name): BEST FIT RESIDENTIAL LIVING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5068 ARTIS RD
LUCAMA NC
27851-9681
US

IV. Provider business mailing address

5068 ARTIS RD
LUCAMA NC
27851-9681
US

V. Phone/Fax

Practice location:
  • Phone: 252-265-2661
  • Fax:
Mailing address:
  • Phone: 252-265-2661
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: SHANEKA BEST
Title or Position: OWNER
Credential: RN
Phone: 252-265-2661