OrganizationActive
Special Care
NPI 1326372020 · Mental Illness Intermediate Care Facility · Gibsonville, NC
Provider details
- NPI number
- 1326372020
- Entity type
- Organization
- Primary specialty
- Mental Illness Intermediate Care FacilityNursing & Custodial Care Facilities
- Authorized official
- Henry Simmons, President
- License
- 041-071 (NC)
Practice location
6113 Blue Lantern Rd
Gibsonville, NC 27249-8737
Phone: (336) 449-5690
Fax: (336) 449-4051
Mailing address
2701 S Elm Eugene St
Greensboro, NC 27406-3634
Registry dates
- Enumerated
- 2009-09-28
- Last updated
- 2009-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.