OrganizationActive
Carolina Humana Inc
NPI 1508003443 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Rocky Mount, NC
Provider details
- NPI number
- 1508003443
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Demetrius Thompson, Executive Director
- License
- MHL-064-097 (NC)
Practice location
1008 Wilkins St
Rocky Mount, NC 27803-3822
Phone: (252) 454-0011
Fax: (252) 454-0011
Mailing address
1008 Wilkins St
Rocky Mount, NC 27803-3822
Registry dates
- Enumerated
- 2009-01-14
- Last updated
- 2009-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.