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General NPI Number Information
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NPI Number | 1679779169
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Entity Type | Organization
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Legal Business Name | SOLID FOUNDATION FACILITIES, INC
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Dates
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Enumeration Date | 06/22/2007
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Last Update Date | 12/18/2014
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Provider Practice Location Address
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Address Line | 224 WARD RD
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City | WINDSOR
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State | NC
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Zip | 27983-9074
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Country | US
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Telephone | 252-794-2385
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Fax | 252-794-1923
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Provider Business Mailing Address
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Address Line | 224 WARD RD
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City | WINDSOR
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State | NC
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Zip | 27983-9074
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Country | US
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Telephone | 252-794-2385
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Fax | 252-794-1923
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Authorized Official
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Title or Position | CEO
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Name | R VERNELL RODGERS
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Credential |
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Telephone | 252-794-2385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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