Providence Place, Inc
Providence Place, Inc is an Intellectual Disabilities Intermediate Care Facility in Durham, North Carolina. Licensed in North Carolina. Registered with an NPI since 2008.
- Licensed in
- NC
- In the registry since
- 2008
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
916 Clayton RdDurham, NC 27703-2608
Phone: (919) 767-9037
Fax: (919) 767-9037
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X · Licence MHL-032-422 (NC) |
|---|
Record details
| NPI number | 1801064118 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Moses Olanrewaju — Ceo/Administrator · (919) 767-9037 |
| Other names | Providence Place Family Care Home |
| NPI enumerated | February 20, 2008 |
| Last updated in NPPES | February 20, 2008 |
| Mailing address | 156 Wolfsnare Ln, Morrisville, NC 27560-7061 |
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