Organization

Evergreen Road Facility

May also be knows as Care Focus, Inc.

Intellectual and/or Developmental Disabilities Residential Treatment Facility in Rocky Mount, NC(View on Map)

Legal Business Name

Evergreen Road Facility

Also Known As

Care Focus, Inc.

NPI Number

1043409584

NPI Type

Organization

Enumeration Date

10/22/2007

Specialties

(Taxonomies)

Licenses

State

North Carolina

License Number

064-079

Contact
Information

Purpose

Mailing
Location

Address

7227 LEE DEFOREST DR
827 EVERGREEN RD

City

Columbia
Rocky Mount

State

MD
NC

Postal Code

21046-3236
27803-2426

Country

US
US

Telephone Number

N/A
(252) 446-8675

Authorized Official

Name

Mr. Duane Brickhouse

Title or Position

CONTROLLER

Telephone Number

(410) 910-1489

Identifiers

Identifier

064-079
7804569

Identifier State

NC
NC

Identifier Issuer

LICENSE
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/22/2007

Provider Address

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