National Provider Identifier Database

RESTORE HEALTHCARE
Case Management


Contact Information

RESTORE HEALTHCARE
4350 MAIN ST
SUITE 211
HARRISBURG, NC28075-7433
Phone: 704-559-9408
Fax: 704-731-0975
Website:
Specialty Taxonomy Code
* Case Management 163WC0400X
Mental Health 101YM0800X
Nutrition, Renal 133VN1005X
Occupational Therapist 225X00000X
Physical Therapist 225100000X
Speech-Language Pathologist 235Z00000X

* Indicates primary specialty

NPI Profile & details for RESTORE HEALTHCARE

NPI Number 1639513708
Legal business name
LBN
RESTORE HEALTHCARE
Authorized official CHRIS JARRETT - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 04/19/2013
Last updated 06/29/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • NC Other: REHABILITATIVE BLUE CROSS BLUE SHIELD

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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