Healthcare Provider Details

I. General information

NPI: 1134534803
Provider Name (Legal Business Name): ENHANCEMENT HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2014
Last Update Date: 06/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2407 EPHESUS CHURCH RD
SEMORA NC
27343-9178
US

IV. Provider business mailing address

2407 EPHESUS CHURCH RD
SEMORA NC
27343-9178
US

V. Phone/Fax

Practice location:
  • Phone: 919-479-6600
  • Fax: 919-479-1010
Mailing address:
  • Phone: 919-479-6600
  • Fax: 919-479-1010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT EARL JONES
Title or Position: DIRECTOR
Credential:
Phone: 919-479-6600