Provider Demographics
NPI:1356475669
Name:THE ARC OF DAVIDSON COUNTY
Entity Type:Organization
Organization Name:THE ARC OF DAVIDSON COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VERA
Authorized Official - Middle Name:H
Authorized Official - Last Name:MCRAE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-248-2842
Mailing Address - Street 1:6 VANCE CIR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27292-2336
Mailing Address - Country:US
Mailing Address - Phone:336-248-2842
Mailing Address - Fax:336-224-2173
Practice Address - Street 1:6 VANCE CIR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27292-2336
Practice Address - Country:US
Practice Address - Phone:336-248-2842
Practice Address - Fax:336-224-2173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7802540Medicaid
NC7802538Medicaid
NC3409352Medicaid
NC7802282Medicaid
NC7802539Medicaid