Outreach Home # 4

NPI 1194866608 - Clinic/Center - 261QM0850X

NPI Details
NPI 1194866608
Enumeration Date 02/08/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JOY N. JOY
Position ADMINISTRATOR
Phone (919) 220-0607
Fax (919) 477-4700
Practice Location
3007 DEARBORN DR
DURHAM NC, 27704-2303, US
Phone (919) 220-0607
Fax (919) 477-4700
Business Location
305 SHALIMAR DR
DURHAM NC, 27713-7571, US
Phone (919) 641-0162
Fax (919) 477-4700
Toxanomy
Taxonomy Code 261QM0850X
License State North Carolina
License Number MHL-032-394
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According to our database, Outreach Home # 4 NPI is 1194866608, taxonomy code is 261QM0850X and license number is MHL-032-394, license state is located at North Carolina. Outreach Home # 4 physically located at 3007 Dearborn Dr, Durham NC, 27704-2303. NPI Number 1033115704 has the healthcare provider type.

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1194866608 NPI number is provided on an as is basis without warranty of any kind. 1194866608 is maintained by the National Plan & Provider Enumeration System. The contents of Outreach Home # 4 are for informational purposes only.