MEDICARE: ROWAN VOCATIONAL OPPORTUNITIES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency	3408843	NC
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1013055458
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROWAN VOCATIONAL OPPORTUNITIES, INC.

Provider Business Mailing Address
First Line	:	2728 OLD CONCORD RD
Second Line	:
City	:	SALISBURY
State	:	NC
Zip	:	28146-1338
Country	:	US
Telephone Number	:	704-633-6223
Fax Number	:	704-633-6224

Provider Business Practice Location Address
First Line	:	2728 OLD CONCORD RD
Second Line	:
City	:	SALISBURY
State	:	NC
Zip	:	28146-1338
Country	:	US
Telephone Number	:	704-633-6223
Fax Number	:	704-633-6224

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. GARRETT YELTON
Credential	:	QP
Telephone Number	:	704-633-6223

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	07/22/2021

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