Provider Demographics
NPI:1730848359
Name:SOPHIA B. PIERCE & ASSOCIATES, INC.
Entity type:Organization
Organization Name:SOPHIA B. PIERCE & ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY DIRECTCOR
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-488-8477
Mailing Address - Street 1:PO BOX 2813
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28302-2813
Mailing Address - Country:US
Mailing Address - Phone:910-488-8477
Mailing Address - Fax:910-822-1951
Practice Address - Street 1:7559 DECATUR DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-1989
Practice Address - Country:US
Practice Address - Phone:910-488-8477
Practice Address - Fax:910-822-1951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-10
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities