Healthcare Provider Details

I. General information

NPI: 1841459740
Provider Name (Legal Business Name): THE HARAMBEE GROUP 2 INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2008
Last Update Date: 10/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

451 N MAIN ST STE 106
MARION NC
28752
US

IV. Provider business mailing address

451 N MAIN ST STE 106
MARION NC
28752-3306
US

V. Phone/Fax

Practice location:
  • Phone: 828-559-0414
  • Fax: 828-433-4576
Mailing address:
  • Phone: 828-559-0414
  • Fax: 828-433-4576

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNC

VIII. Authorized Official

Name: MR. RICARDO HARRISON
Title or Position: DIRECTOR
Credential:
Phone: 828-559-0414