Life St Joseph of the Pines, Inc
Life St Joseph of the Pines, Inc is a PACE Provider Organization in Fayetteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2010.
- Licensed in
- NC
- In the registry since
- 2010
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4900 Raeford RdFayetteville, NC 28304-3142
Phone: (910) 483-4911
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| PACE Provider Organization (primary) | Taxonomy 251T00000X · Licence PENDING (NC) |
|---|
Record details
| NPI number | 1750692620 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | St Joseph of the Pines |
| Authorized official | Robert Dickson — Executive Director · (910) 429-7255 |
| NPI enumerated | June 25, 2010 |
| Last updated in NPPES | February 8, 2013 |
| Mailing address | 4900 Raeford Rd, Fayetteville, NC 28304-3142 |