Nova Ic, Inc
Nova Ic, Inc is an Intellectual Disabilities Intermediate Care Facility in Lagrange, North Carolina. Licensed in North Carolina. Registered with an NPI since 2009.
- Licensed in
- NC
- In the registry since
- 2009
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
407 W Washington StLagrange, NC 28551-1623
Phone: (919) 734-8803
Fax: (919) 735-6825
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
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X · Licence MHL-054-038 (NC) |
|---|
Record details
| NPI number | 1669611471 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tracey Pridgen — Cfo · (919) 734-8803 |
| Other names | Washington Street East Group Home; Washington Street East Group Home |
| NPI enumerated | February 18, 2009 |
| Last updated in NPPES | October 8, 2025 |
| Certification date | October 8, 2025 |
| Mailing address | Po Box 11077, Goldsboro, NC 27532-1077 |