Provider Demographics
NPI:1518131119
Name:SPECIAL CARE SERVICE, INC.
Entity Type:Organization
Organization Name:SPECIAL CARE SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:KAY
Authorized Official - Middle Name:C
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-937-5788
Mailing Address - Street 1:100 COASTLINE ST
Mailing Address - Street 2:SUITE 314
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-5879
Mailing Address - Country:US
Mailing Address - Phone:252-937-5788
Mailing Address - Fax:
Practice Address - Street 1:100 COASTLINE ST
Practice Address - Street 2:314
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-5879
Practice Address - Country:US
Practice Address - Phone:252-937-5788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STEPPING OUT ON FAITH RESIDENTIAL HOUSE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility