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Evans Walston Home Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fuquay Varina, North Carolina
NPI 1063843274

Evans Walston Home Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Fuquay Varina, NC. Evans Walston Home Llc practices in Fuquay Varina, NC. The NPI Number for Evans Walston Home Llc is 1063843274 and holds a License No. MHL 092248 (North Carolina).

The current practice location address for Evans Walston Home Llc is 808 Hawks View Ct, Fuquay Varina, NC and can be reached out via phone at 919-552-1312 and via fax at 919-552-1312.

Location: 808 Hawks View Ct, Fuquay Varina, NC, 27526-6642
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063843274
Provider Name
Evans Walston Home Llc
Credential
Provider Entity Type
Organization
Address
808 Hawks View Ct, Fuquay Varina, NC, 27526-6642
Phone Number
919-552-1312
Fax Number
919-552-1312
Provider Enumeration Date
12/13/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
808 Hawks View Ct
City
Fuquay Varina
State
North Carolina
Zip
27526-6642
Phone Number
919-552-1312
Fax Number
919-552-1312
person
Provider Business Mailing Address Details
Address
808 Hawks View Ct
City
Fuquay Varina
State
North Carolina
Zip
27526-6642
Phone Number
919-552-1312
Fax Number
919-552-1312
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
MHL 092248 (North Carolina)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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