NPI 1063638328

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Organisation Physical Disabilities Residential Treatment Facility Durham, NC

Practice location

Address: 2826 S Roxboro St, Durham, NC 27707-4039
Phone: (919) 401-8352
Mailing address: 305 Shalimar Dr, Durham, NC 27713-7571

Authorised official

Name: Joy N. Okeke
Title: Administrator
Phone: (919) 641-0162

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence MHL032299 (NC)

Other Residential Treatment Facility, Physical Disabilities providers in North Carolina →

Registry record

NPI: 1063638328
Entity type: Organization
NPI issued: 17 Apr 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.