Ford Home
NPI #1104005735 in Jacksonville, North Carolina
Provider Information
- NPI Number
- 1104005735
- Entity Type
- Organization
- Organization Name
- Ford Home
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Oct 31, 2007
- Last Updated
- Sep 14, 2009
Practice Location
- Address
- 311 BRENTWOOD AVE
- City
- Jacksonville
- State
- North Carolina
- ZIP Code
- 28540-5405
- Phone
- (910) 324-2787
Authorized Official
- Name
- MR. OLIVER FORD
- Title
- OWNER/PRESIDENT
- Phone
- (910) 381-0125
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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