Provider Demographics
NPI:1437271228
Name:ICAN & ASSOCIATES INC
Entity Type:Organization
Organization Name:ICAN & ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:M
Authorized Official - Last Name:BATTLE
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:910-860-9787
Mailing Address - Street 1:PO BOX 25433
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-5007
Mailing Address - Country:US
Mailing Address - Phone:910-860-9787
Mailing Address - Fax:910-860-3903
Practice Address - Street 1:6112 LOUISE ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-2719
Practice Address - Country:US
Practice Address - Phone:910-860-9787
Practice Address - Fax:910-860-3903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2011-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency