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The Durham Family Group Home 'lodge Street House'
Assisted Living Facility (Mental Illness) in Durham, North Carolina
NPI 1245374545

The Durham Family Group Home 'lodge Street House' is an Assisted Living Facility (Mental Illness) based in Durham, NC and is specialized in Assisted Living, Mental Illness. The Durham Family Group Home 'lodge Street House' practices in Durham, NC. The NPI Number for The Durham Family Group Home 'lodge Street House' is 1245374545 and holds a License No. MHL032393 (North Carolina).

The current practice location address for The Durham Family Group Home 'lodge Street House' is 203 Lodge St, Durham, NC and can be reached out via phone at 919-682-5375 and via fax at 919-682-5375.

Location: 203 Lodge St, Durham, NC, 27707-2339
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245374545
Provider Name
The Durham Family Group Home 'lodge Street House'
Credential
Provider Entity Type
Organization
Address
203 Lodge St, Durham, NC, 27707-2339
Phone Number
919-682-5375
Fax Number
919-682-5375
Provider Enumeration Date
02/19/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
203 Lodge St
City
Durham
State
North Carolina
Zip
27707-2339
Phone Number
919-682-5375
Fax Number
919-682-5375
person
Provider Business Mailing Address Details
Address
203 Lodge St
City
Durham
State
North Carolina
Zip
27707-2339
Phone Number
919-682-5375
Fax Number
919-682-5375
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Mental Illness
Taxonomy
3104A0625X
License No.
MHL032393 (North Carolina)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
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