Provider Demographics
NPI:1487355095
Name:ALMARCH OPEN ARMS, LLC
Entity type:Organization
Organization Name:ALMARCH OPEN ARMS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALPHONSUS
Authorized Official - Middle Name:E
Authorized Official - Last Name:NGWADOM
Authorized Official - Suffix:
Authorized Official - Credentials:PROF
Authorized Official - Phone:919-247-2312
Mailing Address - Street 1:295 ADAMS POINT DR
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-6507
Mailing Address - Country:US
Mailing Address - Phone:919-247-2312
Mailing Address - Fax:919-329-7640
Practice Address - Street 1:1649 HARPER ST
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27801-3050
Practice Address - Country:US
Practice Address - Phone:252-442-2752
Practice Address - Fax:919-329-7640
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALMARCH FAMILY CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-03-13
Last Update Date:2023-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities