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NPI 1831001536

NPI 1831001536 : SHEILA'S SAFE PLACE : EDENTON, NC

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General NPI Number Information
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    NPI Number           |    1831001536
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    Entity Type          |    Organization 
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    Legal Business Name  |    SHEILA'S SAFE PLACE 
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Dates
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    Enumeration Date     |    09/18/2026
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    Last Update Date     |    09/18/2026
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Provider Practice Location Address
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    Address Line         |    142 E ALBEMARLE ST 
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    City                 |    EDENTON
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    State                |    NC
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    Zip                  |    27932-1902
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    Country              |    US
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    Telephone            |    252-273-0103
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    101 HINES AVE 
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    City                 |    ELIZABETH CITY
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    State                |    NC
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    Zip                  |    27909-7844
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    Country              |    US
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    Telephone            |    252-273-0103
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. THOMAS  WHITE 
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    Credential           |    
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    Telephone            |    252-273-0103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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