Provider Demographics
NPI:1255452876
Name:C F MARKETING LLC
Entity type:Organization
Organization Name:C F MARKETING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:FUNCHESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-236-2056
Mailing Address - Street 1:1558 OLD THOMASVILLE RD
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27107-9290
Mailing Address - Country:US
Mailing Address - Phone:336-236-2056
Mailing Address - Fax:336-236-2469
Practice Address - Street 1:701 S SALISBURY ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27292-3245
Practice Address - Country:US
Practice Address - Phone:336-236-2056
Practice Address - Fax:336-236-2469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL 029 097251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3409511Medicaid