Basic Information
| Provider Information | |||||||||
| NPI: | 1306144811 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SOLID FOUNDATION FACILITIES INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 224 WARD RD | ||||||||
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| City: | WINDSOR | ||||||||
| State: | NC | ||||||||
| PostalCode: | 279839074 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2527912385 | ||||||||
| FaxNumber: | 2527941923 | ||||||||
| Practice Location | |||||||||
| Address1: | 112 CHERRY ST | ||||||||
| Address2: | |||||||||
| City: | WOODLAND | ||||||||
| State: | NC | ||||||||
| PostalCode: | 27897 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2525873276 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/08/2011 | ||||||||
| LastUpdateDate: | 03/08/2011 | ||||||||
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| AuthorizedOfficialLastName: | RODGERS | ||||||||
| AuthorizedOfficialFirstName: | REGINOLD | ||||||||
| AuthorizedOfficialMiddleName: | VERNELL | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 2527942385 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 320900000X | Y | Residential Treatment Facilities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
No ID Information.