Basic Information
| Provider Information | |||||||||
| NPI: | 1093073850 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NEW DESTINATIONS, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 287 | ||||||||
| Address2: | |||||||||
| City: | RUTHERFORD COLLEGE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 286710287 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8285722024 | ||||||||
| FaxNumber: | 9802250385 | ||||||||
| Practice Location | |||||||||
| Address1: | 125 E LONGVIEW ST | ||||||||
| Address2: | |||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275161728 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8285722024 | ||||||||
| FaxNumber: | 9802250385 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/30/2012 | ||||||||
| LastUpdateDate: | 04/30/2012 | ||||||||
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| AuthorizedOfficialLastName: | KINCAID | ||||||||
| AuthorizedOfficialFirstName: | SUSAN | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 8285722024 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 3104A0625X | Y | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Mental Illness |
No ID Information.