Provider Demographics
NPI:1164711446
Name:PREFERRED CARE INC
Entity Type:Organization
Organization Name:PREFERRED CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCPHAUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-565-2377
Mailing Address - Street 1:318 HARRIS AVE
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-3110
Mailing Address - Country:US
Mailing Address - Phone:910-565-2377
Mailing Address - Fax:910-565-2387
Practice Address - Street 1:318 HARRIS AVE
Practice Address - Street 2:
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-3110
Practice Address - Country:US
Practice Address - Phone:910-565-2377
Practice Address - Fax:910-565-2387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-07
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCMHL-047-143OtherDEPARTMENT OF HEALTH AND HUMAN SERVICES