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NPI Code Detail

MEDICARE: UMAR SERVICES, INC

MEDICARE: UMAR SERVICES, 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
1320600000XIntellectual and/or Developmental Disabilities Residential Treatment FacilityMHL-041-576NC
2251S00000XCommunity/Behavioral Health AgencyMHL-041-576

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083892848
Entity Type Code : Organization
Provider Name (Legal Business Name) : UMAR SERVICES, INC
Provider Business Mailing Address
First Line : 5350 77 CENTER DR STE 201
Second Line :
City : CHARLOTTE
State : NC
Zip : 28217-2783
Country : US
Telephone Number : 704-875-1328
Fax Number : 704-875-9276
Provider Business Practice Location Address
First Line : 1400 SPRING TREE CT
Second Line :
City : HIGH POINT
State : NC
Zip : 27265-9356
Country : US
Telephone Number : 338-883-6212
Fax Number : 336-869-2529
Authorized Official
Title or Position : CEO AND PRESIDENT
Name : MARILYN GARNER
Credential :
Telephone Number : 704-659-7630
Provider Enumeration Date : 02/04/2008
Last Update Date : 09/21/2017

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