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Judith's House
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fuquay Varina, North Carolina
NPI 1164762035

Judith's House is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Fuquay Varina, NC. Judith's House practices in Fuquay Varina, NC. The NPI Number for Judith's House is 1164762035 and holds a License No. MHL-092-496 (North Carolina).

The current practice location address for Judith's House is 2625 Mary Marvin Trl, Fuquay Varina, NC and can be reached out via phone at 919-639-2947.

Location: 2625 Mary Marvin Trl, Fuquay Varina, NC, 27526-9641
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164762035
Provider Name
Judith's House
Credential
Provider Entity Type
Organization
Address
2625 Mary Marvin Trl, Fuquay Varina, NC, 27526-9641
Phone Number
919-639-2947
Fax Number
Provider Enumeration Date
02/28/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2625 Mary Marvin Trl
City
Fuquay Varina
State
North Carolina
Zip
27526-9641
Phone Number
919-639-2947
Fax Number
person
Provider Business Mailing Address Details
Address
2625 Mary Marvin Trl
City
Fuquay Varina
State
North Carolina
Zip
27526-9641
Phone Number
919-639-2947
Fax Number
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-092-496 (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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