NPI 1184649915

Diyah's Home INC.

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Spring Lake, NC

Practice location

Address: 295 Appaloosa Dr, Spring Lake, NC 28390-8503
Phone: (910) 497-8599
Fax: (910) 436-5928

Authorised official

Name: David Omar Haqq
Title: Director
Phone: (910) 978-8599

Registered specialties (3)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence MHL-043-056 (NC)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in North Carolina →

Intellectual and/or Developmental Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320600000X Licence MHL-026-583 (NC)

Intellectual and/or Developmental Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320600000X Licence MHL-043-045 (NC)

Registry record

NPI: 1184649915
Entity type: Organization
NPI issued: 13 Jul 2006
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.