Healthcare Provider Details

I. General information

NPI: 1700050952
Provider Name (Legal Business Name): PATIENCE IS A VIRTUE HOMES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2008
Last Update Date: 07/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

419 GOVERNORS RD
WILMINGTON NC
28411-9074
US

IV. Provider business mailing address

419 GOVERNORS RD
WILMINGTON NC
28411-9074
US

V. Phone/Fax

Practice location:
  • Phone: 910-381-1229
  • Fax: 910-343-9234
Mailing address:
  • Phone: 910-381-1229
  • Fax: 910-343-9234

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number065193
License Number StateNC

VIII. Authorized Official

Name: MR. ORLANDO CARR
Title or Position: OWNER
Credential:
Phone: 910-381-1229