Ktv Alive
Foster Care Agency in Sanford, NC. Organization (NPI-2).
NPI number1013210129
StatusActive
Last updated in NPPESDec 10, 2010
Details
- NPI
- 1013210129
- Entity type
- Organization (NPI-2)
- Legal business name
- Ktv Alive
- Organization subpart
- No
- Enumeration date
- Dec 10, 2010
- Last updated
- Dec 10, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253J00000X | Foster Care Agency | – | – | Yes |
| 251B00000X | Case Management | – | – |
Practice location
1665 Lower Moncure RoadSanford, NC 27330-6403
Phone 919-774-1135
Mailing address
Po Box 3284Sanford, NC 27331-2384
Phone 919-772-1135
Authorized official
Phaedra N Taylor
Director
9197741135
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