institution
Outreach Home #1
Physical Disabilities Residential Treatment Facility in Durham, North Carolina
NPI 1063638328

Outreach Home #1 is a Physical Disabilities Residential Treatment Facility based in Durham, NC. Outreach Home #1 practices in Durham, NC. The NPI Number for Outreach Home #1 is 1063638328 and holds a License No. MHL032299 (North Carolina).

The current practice location address for Outreach Home #1 is 2826 S Roxboro St, Durham, NC and can be reached out via phone at 919-401-8352.

Location: 2826 S Roxboro St, Durham, NC, 27713-7571
institution
Provider Profile Details
NPI Number
1063638328
Provider Name
Outreach Home #1
Credential
Provider Entity Type
Organization
Address
2826 S Roxboro St, Durham, NC, 27713-7571
Phone Number
919-401-8352
Fax Number
Provider Enumeration Date
04/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7804843 05 NC
institution
Provider Business Practice Location Address Details
Address
2826 S Roxboro St
City
State
Zip
27707-4039
Phone Number
919-401-8352
Fax Number
person
Provider Business Mailing Address Details
Address
2826 S Roxboro St
City
State
Zip
27707-4039
Phone Number
919-401-8352
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
License No.
MHL032299 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
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