The Durham Family Group Home 'lodge Street House'

NPI 1245374545 - Assisted Living Facility - 3104A0625X

NPI Details
NPI 1245374545
Enumeration Date 02/19/2007
Last Updated 08/28/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SUSAN COX SUSAN
Position OWNER
Phone (919) 682-5375
Fax (919) 682-5375
Practice Location
203 LODGE ST
DURHAM NC, 27707-2339, US
Phone (919) 682-5375
Fax (919) 682-5375
Business Location
203 LODGE ST
DURHAM NC, 27707-2339, US
Phone (919) 682-5375
Fax (919) 682-5375
Toxanomy
Taxonomy Code 3104A0625X
License State North Carolina
License Number MHL032393
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According to our database, The Durham Family Group Home 'lodge Street House' NPI is 1245374545, taxonomy code is 3104A0625X and license number is MHL032393, license state is located at North Carolina. The Durham Family Group Home 'lodge Street House' physically located at 203 Lodge St, Durham NC, 27707-2339. NPI Number 1033115704 has the healthcare provider type.

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1245374545 NPI number is provided on an as is basis without warranty of any kind. 1245374545 is maintained by the National Plan & Provider Enumeration System. The contents of The Durham Family Group Home 'lodge Street House' are for informational purposes only.