Healthcare Provider Details
I. General information
NPI: 1487792685
Provider Name (Legal Business Name): CHILDREN AROUND THE WORLD SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/01/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
57 NAVIGATOR LANE
ROWLAND NC
28383-0014
US
IV. Provider business mailing address
57 NAVIGATOR LANE
ROWLAND NC
28383-0014
US
V. Phone/Fax
- Phone: 910-422-9130
- Fax: 910-422-9144
- Phone: 910-422-9130
- Fax: 910-422-9144
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251K00000X |
| Taxonomy | Public Health or Welfare Agency |
| License Number | 25100000X |
| License Number State | NC |
VIII. Authorized Official
Name:
CYNTHIA
BAKER
SHIPMON
Title or Position: OWNER
Credential: ECT
Phone: 910-422-9130