FAIRLEY SUPPORT GROUP HOME INC. – NPI #1710170238
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
FAIRLEY SUPPORT GROUP HOME INC. is a residential treatment facility located in MAXTON, NC. NPPES has assigned the NPI number 1710170238 to FAIRLEY SUPPORT GROUP HOME INC. on August 20, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FAIRLEY SUPPORT GROUP HOME INC. below.
NPI Profile for
FAIRLEY SUPPORT GROUP HOME INC.
(about 19 years ago)
MAXTON, NC 28364 Phone: (910) 844-1880 Fax: (910) 844-1880
12519 US HWY 501 SOUTH
MAXTON, NC 28364-0182 Phone: (910) 844-1880 Fax: (910) 844-1880
ADMINISTRATOR/CEO
Phone: (910) 844-1880
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary) |
NC | MHL-078-174 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.