Provider Demographics
NPI:1255574810
Name:FINDING YOUR WAY HOMES, INC
Entity type:Organization
Organization Name:FINDING YOUR WAY HOMES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BUSINESS DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CLEVELAND
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:POWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-851-9033
Mailing Address - Street 1:PO BOX 213
Mailing Address - Street 2:280 SANDY RIDGE CHURCH ROAD
Mailing Address - City:MORVEN
Mailing Address - State:NC
Mailing Address - Zip Code:28119-0213
Mailing Address - Country:US
Mailing Address - Phone:704-851-9033
Mailing Address - Fax:704-851-3207
Practice Address - Street 1:10442 HIGHWAY 145 SOUTH
Practice Address - Street 2:
Practice Address - City:MORVEN
Practice Address - State:NC
Practice Address - Zip Code:28119-9452
Practice Address - Country:US
Practice Address - Phone:704-851-3081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FINDING YOUR WAY HOMES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-04-13
Last Update Date:2009-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-004-011322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6604135Medicaid