Provider Demographics
NPI:1528213071
Name:POSITIVE CARE #2
Entity Type:Organization
Organization Name:POSITIVE CARE #2
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADM
Authorized Official - Prefix:MS
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:P
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-451-0844
Mailing Address - Street 1:PO BOX 832
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27416-0832
Mailing Address - Country:US
Mailing Address - Phone:336-451-0844
Mailing Address - Fax:336-545-8528
Practice Address - Street 1:3606 FERN PL
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-2808
Practice Address - Country:US
Practice Address - Phone:336-451-0844
Practice Address - Fax:336-545-8528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-25
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility