Provider Demographics
NPI:1043476153
Name:E.W.STONE ADULT CARE SERVICE
Entity Type:Organization
Organization Name:E.W.STONE ADULT CARE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:W
Authorized Official - Last Name:STONE
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, MED
Authorized Official - Phone:919-266-7050
Mailing Address - Street 1:1008F BIG OAK CT
Mailing Address - Street 2:
Mailing Address - City:KNIGHTDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27545-8841
Mailing Address - Country:US
Mailing Address - Phone:919-266-7050
Mailing Address - Fax:919-266-7052
Practice Address - Street 1:1008F BIG OAK CT
Practice Address - Street 2:
Practice Address - City:KNIGHTDALE
Practice Address - State:NC
Practice Address - Zip Code:27545-8841
Practice Address - Country:US
Practice Address - Phone:919-266-7050
Practice Address - Fax:919-266-7052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-29
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC066688251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health