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General NPI Number Information
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NPI Number | 1083128508
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Entity Type | Organization
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Legal Business Name | ALMARCH FAMILY CARE 1, LLC
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Dates
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Enumeration Date | 11/20/2017
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Last Update Date | 04/02/2023
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Provider Practice Location Address
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Address Line | 1924 BEVERLY RD
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City | ROCKY MOUNT
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State | NC
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Zip | 27801-6313
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Country | US
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Telephone | 252-442-1309
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Fax |
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Provider Business Mailing Address
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Address Line | 295 ADAMS POINT DR
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City | GARNER
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State | NC
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Zip | 27529-6507
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Country | US
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Telephone | 919-247-2312
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Fax | 919-912-7858
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ALPHONSUS E NGWADOM
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Credential | COUNSELOR
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Telephone | 919-247-2312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 376G00000X
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Taxonomy Name | Nursing Home Administrator
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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