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NPI Code Detail

MEDICARE: THE SPECIAL CHILDRENS SCHOOL

MEDICARE: THE SPECIAL CHILDRENS SCHOOL
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
1251C00000XDevelopmentally Disabled Services Day Training Agency34000098NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306937370
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE SPECIAL CHILDRENS SCHOOL
Provider Business Mailing Address
First Line : 4505 SHATTALON DR
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27106-2001
Country : US
Telephone Number : 336-924-9309
Fax Number :
Provider Business Practice Location Address
First Line : 4505 SHATTALON DR
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27106-2001
Country : US
Telephone Number : 336-924-9309
Fax Number :
Authorized Official
Title or Position : FINANCE DIRECTOR
Name : MS. DONNA MARIE SMALL
Credential :
Telephone Number : 336-924-9309
Provider Enumeration Date : 09/27/2006
Last Update Date : 11/29/2023

Similar Medicare Providers

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Practice Location Address:
4505 SHATTALON DR
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27106-2001
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1154524163 — MRS. KIMBERLY MULLANE
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1689877615 — MRS. LAURA DENISE OAKMAN
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1770786519 — MS. EVELYN M RIES
Practice Location Address:
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Practice Fax: 336-924-0388
1982890828 — MARTHA C SIMMONS OTR/L
Practice Location Address:
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Practice Fax:
1427223932 — THE SPECIAL CHILDREN'S SCHOOL, INC
Practice Location Address:
4505 SHATTALON DR
WINSTON SALEM, NC
27106-2001
Practice Phone: 336-727-2468
Practice Fax:

Directions to “THE SPECIAL CHILDRENS SCHOOL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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