Home » North Carolina » 28551 » Nova Ic, Inc.

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.

physician-icon Basic Information

Practice Location 407 W. Washington Street, Lagrange, NC 28551-1623, US
Practice Location Phone919-735-4736
Practice Location Fax919-735-6825
Legal Business NameNOVA IC, INC.
Other Organization NameWASHINGTON STREET EAST GROUP HOME
Other Organization Name TypeAn Other Name
NPI ?1669611471
Entity TypeOrganization
Enumeration Date ? Feb 18, 2009
Last Update Date ? Dec 17, 2015
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Nova Ic, Inc.

SpecialtySpecializationLicenseLicense State
Intermediate Care Facility, Mentally Retarded MHL-054-038North Carolina

legacy-id-icon Legacy Provider IDs of Nova Ic, Inc.

Provider IdIssuer StateIssuer TypeIssuer
340608VNorth CarolinaMedicaid

official-icon 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/PositionCEO
Authorized Official Phone Number919-735-8887