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NPI Code Detail

MEDICARE: VOCA CORP OF NORTH CAROLINA

MEDICARE: VOCA CORP OF NORTH CAROLINA
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
1315P00000XIntellectual Disabilities Intermediate Care 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 : 1558481549
Entity Type Code : Organization
Provider Name (Legal Business Name) : VOCA CORP OF NORTH CAROLINA
Provider Business Mailing Address
First Line : 9901 LINN STATION RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40223-3808
Country : US
Telephone Number : 800-866-0860
Fax Number :
Provider Business Practice Location Address
First Line : 12516 OAKHAVEN DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28273-3190
Country : US
Telephone Number : 704-588-7436
Fax Number :
Authorized Official
Title or Position : PRIVACY OFFICER
Name : DEENA OMBRES
Credential :
Telephone Number : 502-394-2387
Provider Enumeration Date : 03/31/2007
Last Update Date : 01/09/2008

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Directions to “VOCA CORP OF NORTH CAROLINA ” Practice Location

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