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Heavenly Place Llc Ii
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Raleigh, North Carolina
NPI 1356683445

Heavenly Place Llc Ii is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Raleigh, NC. Heavenly Place Llc Ii practices in Raleigh, NC. The NPI Number for Heavenly Place Llc Ii is 1356683445 and holds a License No. (North Carolina).

The current practice location address for Heavenly Place Llc Ii is 2105 Gresham Lake Rd, Raleigh, NC and can be reached out via phone at 919-819-3882.

Location: 2105 Gresham Lake Rd, Raleigh, NC, 27629-1153
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356683445
Provider Name
Heavenly Place Llc Ii
Credential
Provider Entity Type
Organization
Address
2105 Gresham Lake Rd, Raleigh, NC, 27629-1153
Phone Number
919-819-3882
Fax Number
Provider Enumeration Date
03/27/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2105 Gresham Lake Rd
City
Raleigh
State
North Carolina
Zip
27615-4204
Phone Number
919-819-3882
Fax Number
person
Provider Business Mailing Address Details
Address
2105 Gresham Lake Rd
City
Raleigh
State
North Carolina
Zip
27615-4204
Phone Number
919-819-3882
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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