Provider Demographics
NPI:1285980680
Name:C&D FOUNDATION
Entity type:Organization
Organization Name:C&D FOUNDATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:BATTLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-508-5110
Mailing Address - Street 1:8829 US HIGHWAY 64
Mailing Address - Street 2:PO BOX 1425
Mailing Address - City:ROBERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27871-9696
Mailing Address - Country:US
Mailing Address - Phone:252-795-5004
Mailing Address - Fax:252-795-5006
Practice Address - Street 1:8829 US HIGHWAY 64
Practice Address - Street 2:
Practice Address - City:ROBERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:27871-9696
Practice Address - Country:US
Practice Address - Phone:252-508-5110
Practice Address - Fax:252-795-5006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-03
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No302F00000XManaged Care OrganizationsExclusive Provider Organization