NPI 1356492425

Keywest Center INC.

Organisation Intellectual Disabilities Intermediate Care Facility Durham, NC

Practice location

Address: 1722 Athens Ave., Durham, NC 27707-4312
Phone: (919) 682-9392
Fax: (919) 683-1774

Authorised official

Name: Tony Bullock
Title: Administrator
Phone: (919) 682-9392

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence MHL-032-049 (NC)

Other Intermediate Care Facility, Intellectual Disabilities providers in North Carolina →

Registry record

NPI: 1356492425
Entity type: Organization
NPI issued: 16 Jan 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.