Provider Demographics
NPI:1316495369
Name:GUIDING STAR HEALTH CARE TWO, INC.
Entity type:Organization
Organization Name:GUIDING STAR HEALTH CARE TWO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-314-4444
Mailing Address - Street 1:1564 SPRINGBROOK DR
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27801-3562
Mailing Address - Country:US
Mailing Address - Phone:252-314-4444
Mailing Address - Fax:252-557-4810
Practice Address - Street 1:1564 SPRINGBROOK DR
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27801-3562
Practice Address - Country:US
Practice Address - Phone:252-314-4444
Practice Address - Fax:252-557-4810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-20
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCFCL033014320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities