The Durham Family Group Home 'Lodge Street House
The Durham Family Group Home 'Lodge Street House is an Assisted Living Facility (Mental Illness) in Durham, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.
- Licensed in
- NC
- In the registry since
- 2007
Practice location Address checks out
203 Lodge StDurham, NC 27707-2339
Phone: (919) 682-5375
Fax: (919) 682-5375
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
| Assisted Living Facility (Mental Illness) (primary) | Taxonomy 3104A0625X · Licence MHL032393 (NC) |
|---|
Record details
| NPI number | 1245374545 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Susan Durham — Owner · (919) 730-7405 |
| NPI enumerated | February 19, 2007 |
| Last updated in NPPES | August 28, 2007 |
| Mailing address | 203 Lodge St, Durham, NC 27707-2339 |
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