Provider Demographics
NPI:1205007044
Name:TWIN OAKS & TWINS INC
Entity Type:Organization
Organization Name:TWIN OAKS & TWINS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/ADMINISTRATOR IN TRAINING
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARCELL
Authorized Official - Middle Name:B
Authorized Official - Last Name:FAULK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-398-8110
Mailing Address - Street 1:PO BOX 72
Mailing Address - Street 2:
Mailing Address - City:COMO
Mailing Address - State:NC
Mailing Address - Zip Code:27818-0072
Mailing Address - Country:US
Mailing Address - Phone:252-398-8110
Mailing Address - Fax:252-398-8172
Practice Address - Street 1:817 US HWY 258 N
Practice Address - Street 2:
Practice Address - City:COMO
Practice Address - State:NC
Practice Address - Zip Code:27818
Practice Address - Country:US
Practice Address - Phone:252-398-8110
Practice Address - Fax:252-398-8172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-20
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHAL-046-018310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility