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NPI Code Detail

MEDICARE: CARING HANDS AND SUPPLEMENTARY ENRICHMENT EDUCATION, LLC

MEDICARE: CARING HANDS AND SUPPLEMENTARY ENRICHMENT EDUCATION, LLC
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
1385HR2060XChild Intellectual and/or Developmental Disabilities Respite Care
2320600000XIntellectual and/or Developmental Disabilities Residential Treatment Facility

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 : 1215369137
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARING HANDS AND SUPPLEMENTARY ENRICHMENT EDUCATION, LLC
Provider Business Mailing Address
First Line : 3512 PINKHAM WAY
Second Line :
City : RALEIGH
State : NC
Zip : 27616-8322
Country : US
Telephone Number : 919-479-6806
Fax Number : 919-479-5566
Provider Business Practice Location Address
First Line : 3512 PINKHAM WAY
Second Line :
City : RALEIGH
State : NC
Zip : 27616-8322
Country : US
Telephone Number : 919-479-6806
Fax Number : 919-479-5566
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MRS. LUCIA P HINTON
Credential : MSA
Telephone Number : 919-479-6806
Provider Enumeration Date : 08/01/2013
Last Update Date : 08/01/2013

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Directions to “CARING HANDS AND SUPPLEMENTARY ENRICHMENT EDUCATION, LLC ” Practice Location

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