Provider Demographics
NPI:1376792424
Name:S. L. ROBINSON MEM. FOUNDATION, INC.
Entity Type:Organization
Organization Name:S. L. ROBINSON MEM. FOUNDATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE
Authorized Official - Prefix:MS
Authorized Official - First Name:GWENEVERE
Authorized Official - Middle Name:
Authorized Official - Last Name:BEATY
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-CP
Authorized Official - Phone:919-643-7693
Mailing Address - Street 1:107 DAPHINE DR
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-2009
Mailing Address - Country:US
Mailing Address - Phone:919-643-7693
Mailing Address - Fax:919-643-7693
Practice Address - Street 1:107 DAPHINE DR
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-2009
Practice Address - Country:US
Practice Address - Phone:919-643-7693
Practice Address - Fax:919-643-7693
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-13
Last Update Date:2008-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management