Destiny Family Care Home
Destiny Family Care Home is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2010.
- Licensed in
- NC
- In the registry since
- 2010
Practice location Address checks out
5005 Hollyridge DrRaleigh, NC 27612-3109
Phone: (919) 789-9811
Fax: (919) 789-9811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence MHL-092-759 (NC) |
|---|
Record details
| NPI number | 1063734564 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Anthonia Ezuma — Administrator · (919) 345-4722 |
| NPI enumerated | February 24, 2010 |
| Last updated in NPPES | February 24, 2010 |
| Mailing address | 5005 Hollyridge Dr, Raleigh, NC 27612-3109 |
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