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David Douglas Whitfield
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Kenly, North Carolina
NPI 1164924940

David Douglas Whitfield is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Kenly, NC. David Douglas Whitfield practices in Kenly, NC. The NPI Number for David Douglas Whitfield is 1164924940 and holds a License No. (North Carolina).

The current practice location address for David Douglas Whitfield is 114 Woolrich Dr, Kenly, NC and can be reached out via phone at 919-300-9169 and via fax at 919-284-0005.

Location: 114 Woolrich Dr, Kenly, NC, 27542-8085
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164924940
Provider Name
David Douglas Whitfield
Credential
Provider Entity Type
Individual
Gender
Male
Address
114 Woolrich Dr, Kenly, NC, 27542-8085
Phone Number
919-300-9169
Fax Number
919-284-0005
Provider Enumeration Date
03/07/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
114 Woolrich Dr
City
Kenly
State
North Carolina
Zip
27542-8085
Phone Number
919-300-9169
Fax Number
919-284-0005
person
Provider Business Mailing Address Details
Address
114 Woolrich Dr
City
Kenly
State
North Carolina
Zip
27542-8085
Phone Number
919-300-9169
Fax Number
919-284-0005
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.
()
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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