Homelife Group Home

NPI 1093021115 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1093021115
Enumeration Date 08/26/2010
Last Updated 08/26/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name BEN BEN
Position DIRECTOR OF OPS
Phone (919) 450-5640
Fax
Practice Location
917 LANCASTER ST
DURHAM NC, 27701-1551, US
Phone (919) 450-5640
Fax
Business Location
917 LANCASTER ST
DURHAM NC, 27701-1551, US
Phone (919) 450-5640
Fax
Toxanomy
Taxonomy Code 320900000X
License State North Carolina
License Number MHL032544
Remove 1093021115 NPI Number
 

According to our database, Homelife Group Home NPI is 1093021115, taxonomy code is 320900000X and license number is MHL032544, license state is located at North Carolina. Homelife Group Home physically located at 917 Lancaster St, Durham NC, 27701-1551. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1093021115 NPI number is provided on an as is basis without warranty of any kind. 1093021115 is maintained by the National Plan & Provider Enumeration System. The contents of Homelife Group Home are for informational purposes only.