Hattie C Carrington

NPI 1497880686 - Intermediate Care Facility, Mental Illness - 310500000X

NPI Details
NPI 1497880686
Enumeration Date 02/21/2007
Last Updated 06/20/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name HATTIE HATTIE
Position OWNER
Phone (919) 596-3651
Fax (919) 596-3651
Practice Location
2815 INDEPENDENCE AVE
DURHAM NC, 27703-2512, US
Phone (919) 596-3651
Fax (919) 596-3651
Business Location
2815 INDEPENDENCE AVE
DURHAM NC, 27703-2512, US
Phone (919) 596-3651
Fax (919) 596-3651
Toxanomy
Taxonomy Code 310500000X
License State North Carolina
License Number MHL-032-305
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According to our database, Hattie C Carrington NPI is 1497880686, taxonomy code is 310500000X and license number is MHL-032-305, license state is located at North Carolina. Hattie C Carrington physically located at 2815 Independence Ave, Durham NC, 27703-2512. NPI Number 1033115704 has the healthcare provider type.

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1497880686 NPI number is provided on an as is basis without warranty of any kind. 1497880686 is maintained by the National Plan & Provider Enumeration System. The contents of Hattie C Carrington are for informational purposes only.