Healthcare Provider Details

I. General information

NPI: 1285980680
Provider Name (Legal Business Name): C&D FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2012
Last Update Date: 08/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8829 US HIGHWAY 64
ROBERSONVILLE NC
27871-9696
US

IV. Provider business mailing address

8829 US HIGHWAY 64 PO BOX 1425
ROBERSONVILLE NC
27871-9696
US

V. Phone/Fax

Practice location:
  • Phone: 252-508-5110
  • Fax: 252-795-5006
Mailing address:
  • Phone: 252-795-5004
  • Fax: 252-795-5006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: MR. CHRISTOPHER EUGENE BATTLE
Title or Position: OWNER
Credential:
Phone: 252-508-5110