Provider Demographics
NPI:1073828950
Name:VERTICAL HORIZON COMMUNITY SERVICES
Entity Type:Organization
Organization Name:VERTICAL HORIZON COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARNELL
Authorized Official - Middle Name:L
Authorized Official - Last Name:SYPHRETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-638-6947
Mailing Address - Street 1:318 W MILLBROOK RD STE 101
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-4386
Mailing Address - Country:US
Mailing Address - Phone:919-424-7673
Mailing Address - Fax:919-424-7879
Practice Address - Street 1:318 W MILLBROOK RD STE 101
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-4386
Practice Address - Country:US
Practice Address - Phone:919-424-7673
Practice Address - Fax:919-424-7879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-16
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC135928261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation