Whalio Doctors

NPI 1083753073

South Point Manor

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Durham, NC

Practice location

Address
3218 Hwy 55, Durham, NC 27713
Phone
(919) 361-0721
Fax
(919) 544-1162
Mailing address
2316 Angier Rd 3218 Hwy 55, Fuquay Varina, NC 27526

Authorised official

Name
Senora Woodard
Title
President
Phone
(919) 639-6893

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X Licence HAL032072 (NC)

Registry record

NPI
1083753073
Entity type
Organization
NPI issued
6 Feb 2007
Record last updated
2 Jan 2008

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.