Nova Ic, Inc.
Nova Ic, Inc. is a health care provider in Goldsboro, NC. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 407 W. Washington Street, Lagrange, NC 28551-1623, US |
|Practice Location Phone||919-735-4736|
|Practice Location Fax||919-735-6825|
|Legal Business Name||NOVA IC, INC.|
|Other Organization Name||WASHINGTON STREET EAST GROUP HOME|
|Other Organization Name Type||An Other Name|
|Enumeration Date ? ||Feb 18, 2009|
|Last Update Date ? ||Dec 17, 2015|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Nova Ic, Inc.
|Specialty||Provider Type||Specialization||License||License State|
|Intermediate Care Facility, Mentally Retarded||Nursing & Custodial Care Facilities|| ||MHL-054-038||North Carolina|
Legacy Provider IDs of Nova Ic, Inc.
|Provider Id||Issuer State||Issuer Type||Issuer|
Authorized Official of Nova Ic, Inc.
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Nova Ic, Inc.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official ||Mr. John E. Ford (PH.D)|
|Authorized Official Title/Position||CEO|
|Authorized Official Phone Number||919-735-8887|