Provider Demographics
NPI:1659501047
Name:OPEN ARMS FAMILY SERVICES, INC.
Entity Type:Organization
Organization Name:OPEN ARMS FAMILY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANNETTE
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:TOOMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-937-6753
Mailing Address - Street 1:612 MAYFAIR DR
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27803-1180
Mailing Address - Country:US
Mailing Address - Phone:252-937-6753
Mailing Address - Fax:
Practice Address - Street 1:1649 HARPER ST
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27801-3050
Practice Address - Country:US
Practice Address - Phone:252-210-2941
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-20
Last Update Date:2009-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-033-065320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness