Hazels Residential Care

NPI 1073815023 - Community Based Residential Treatment Facility, Mental Illness - 320800000X

NPI Details
NPI 1073815023
Enumeration Date 11/24/2010
Last Updated 11/24/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name BRENDELL KAY BRENDELL
Position OWNER/DIRECTOR
Phone (336) 228-8443
Fax
Practice Location
1010 MADISON ST
BURLINGTON NC, 27217-1435, US
Phone (336) 228-8443
Fax
Business Location
3739 BOY WOOD RD
GRAHAM NC, 27253-9141, US
Phone (336) 228-8443
Fax
Toxanomy
Taxonomy Code 320800000X
License State North Carolina
License Number MHL-001-204
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According to our database, Hazels Residential Care NPI is 1073815023, taxonomy code is 320800000X and license number is MHL-001-204, license state is located at North Carolina. Hazels Residential Care physically located at 1010 Madison St, Burlington NC, 27217-1435. NPI Number 1033115704 has the healthcare provider type.

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1073815023 NPI number is provided on an as is basis without warranty of any kind. 1073815023 is maintained by the National Plan & Provider Enumeration System. The contents of Hazels Residential Care are for informational purposes only.